Nagesh, Priyamvada

Nagesh, Priyamvada is an individual health care provider with primary practice located at 1200 N West Ave, Recovery Technology, Suite 400, Jackson MI 49202-2179. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Nagesh, Priyamvada can be contacted via phone (517) 780-3336.

Contact Information

Primary practice address
1200 N West Ave, Recovery Technology, Suite 400 Jackson MI 49202-2179
Phone: (517) 780-3336
Fax: (517) 796-4561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 046503 Michigan

Profile Details

NPI number 1942314703
LBN Legal business name Nagesh, Priyamvada
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Jul 13th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942314703 NPPES
Michigan MEDICAID 3061977
Michigan Other 260C876120

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