PRAMIT S MALHOTRA (NPI# 1164484796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164484796 |
| Entity Type | Individual |
| Full Name | PRAMIT S MALHOTRA |
| Credential | M.D. |
| Practice Address |
900 E Michigan Ave Ste 108 Jackson MI 49201-2457 |
| Practice Telephone | 5177899800 |
| Practice Fax Number | 5177899801 |
| Mailing Telephone | 5177899800 |
| Mailing Fax Number | 5177899801 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2014-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
4301086754 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
900 E MICHIGAN AVE STE 108 |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-2457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043772239 | Samantha Marie Rinna | Nurse Practitioner | 900 E Michigan Ave, Jackson, MI 49201-2457 | 2019-04-05 |
| 1326510629 | Danella Darlene Darling | Physician Assistant | 900 E Michigan Ave, Jackson, MI 49201-2457 | 2018-12-26 |
| 1124523915 | W. A. Foote Memorial Hospital, Inc | Clinical Medical Laboratory | 900 E Michigan Ave, Jackson, MI 49201-2457 | 2018-03-26 |
| 1295082030 | Renee Hendrick | Nurse Practitioner | 900 E Michigan Ave, Jackson, MI 49201-2457 | 2012-08-11 |
| 1861724411 | Mohan G Kulkarni Md PC | Exclusive Provider Organization | 900 E Michigan Ave, Suite 103, Jackson, MI 49201-2457 | 2010-02-08 |
| 1366670200 | Bruce S Barbour, Md | Internal Medicine | 900 E Michigan Ave, Jackson, MI 49201-2457 | 2009-06-30 |
| 1043472509 | Sandra Kay Raby | Nurse Practitioner | 900 E Michigan Ave, Suite 106, Jackson, MI 49201-2457 | 2008-06-26 |
| 1497954598 | Rami Alzebdeh | Internal Medicine | 900 E Michigan Ave, Suite 105, Jackson, MI 49201-2457 | 2007-07-17 |
| 1952512766 | Great Lakes Brain and Spine Institute PC | Specialist | 900 E Michigan Ave, Suite 109, Jackson, MI 49201-2457 | 2007-05-24 |
| 1174649354 | Kidney and Hypertension Specialists Pllc | Specialist | 900 E Michigan Ave, Ste 104, Jackson, MI 49201-2457 | 2007-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043872948 | John Magruder Sullivan IIi | Surgery | 2500 N State St, Jackson, MS 39216-4500 | 2019-07-01 |
| 1508352196 | Katherine Christine Benedict | Surgery | 2500 N State St, Jackson, MS 39216-4500 | 2018-07-06 |
| 1780121970 | W.a. Foote Memorial Hospital, Inc | Surgery | 205 N. East Ave, Jackson, MI 49201 | 2017-01-25 |
| 1437386232 | Emily T Wolfe | Surgery | 87 Murray Guard Dr Ste B, Jackson, TN 38305-3775 | 2009-06-18 |
| 1598979064 | Peter B Arnold | Surgery | 2500 N State St, Jackson, MS 39216-4500 | 2007-05-10 |
| 1316071145 | John C Payne | Surgery | 555 E Broadway, Suite 211, Jackson, WY 83001 | 2007-03-15 |
| 1063549178 | Plastic Surgery Center, P.a. | Surgery | 1920 Chadwick Dr, Suite 108, Jackson, MS 39204-3471 | 2007-02-27 |
| 1538244579 | John Barry Mccraw | Surgery | 2500 N State St, Jackson, MS 39216-4500 | 2006-10-26 |
| 1073695706 | William C Lineaweaver | Surgery | 1850 Chadwick Dr Ste 1427, North Tower, 4 West, Jackson, MS 39204-3404 | 2006-10-20 |
| 1699730150 | George Eli Howell II | Surgery | 971 Lakeland Dr, Suite 315, Jackson, MS 39216-4643 | 2006-04-19 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.