NORTHVILLE OBGYN PC NPI 1659677946

NPI Information

  • NPI: 1659677946
  • Provider Name: NORTHVILLE OBGYN PC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 47311 FIVE MILE RD
    PLYMOUTH, MI
    ZIP 48170
  • Phone: (734) 446-1045

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NPI Details

NORTHVILLE OBGYN PC is an obstetrics gynecology in Plymouth, MI. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. NORTHVILLE OBGYN PC NPI is 1659677946. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

47311 FIVE MILE RD
PLYMOUTH, MI
ZIP 48170-768
Phone: (734) 446-1045
Fax: (734) 981-9028

The provider's authorized official is Jyothi R Nichanametla .
The authorized official title is Owner and has the following contact phone number (734) 446-1045.

The enumeration date for this NPI number is 2/3/2011 and was last updated on 6/20/2018.

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
1207V00000XObstetrics & GynecologyMICHIGANYes

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
1=========OTHERMICHIGANTAX ID #

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: 11/21/2025

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