Provider Type Icon

JAGANNATHAN NEUROSURGICAL INSTITUTE PLLC NPI 1356680912


NPI Information

NPI: 1356680912
Provider Name: JAGANNATHAN NEUROSURGICAL INSTITUTE PLLC
Classification: Neurological Surgery - 207T00000X
Entity Type: Organization
Address:
3290 W BIG BEAVER RD
SUITE 150
TROY, MI
ZIP 48084
Phone: (248) 792-6527
Get Directions

JAGANNATHAN NEUROSURGICAL INSTITUTE PLLC is a neurological surgery in Troy, MI. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. JAGANNATHAN NEUROSURGICAL INSTITUTE PLLC NPI is 1356680912. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3290 W BIG BEAVER RD
SUITE 150
TROY, MI
ZIP 48084-903
Phone: (248) 792-6527
Fax: (248) 792-9106

The provider's authorized official is Jayant Jagannathan .
The authorized official title is President and has the following contact phone number (248) 792-6527.

The enumeration date for this NPI number is 2/1/2013 and was last updated on 7/28/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12081P2900XPhysical Medicine & RehabilitationPain MedicineNo
2208VP0014XPain MedicineInterventional Pain MedicineNo
3207T00000XNeurological SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11447299797MEDICAIDMICHIGAN
2P52980058MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.