DEEPTHY NAIR (NPI# 1306380654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306380654 |
| Entity Type | Individual |
| Full Name | DEEPTHY NAIR |
| Practice Address |
2700 Martin Luther King Jr Blvd Department of Oral and Maxillofacial Surgery Detroit MI 48208-2576 |
| Practice Telephone | 3134946642 |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
000000 | MI | Dental Providers |
| Street Address |
2700 MARTIN LUTHER KING JR BLVD DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY |
| City | DETROIT |
| State | MI |
| Zip Code | 48208-2576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144215005 | Salvatore Russell Cutino | Dentist | 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 | 2005-09-16 |
| 1730780933 | Mariam Khan | Dentist | 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 | 2020-11-04 |
| 1508466350 | Shriya Kulkarni | Dentist | 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 | 2020-10-30 |
| 1487267373 | Ranjitha Rai Padhiar | Dentist | 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 | 2020-08-28 |
| 1518575810 | Robert Samuel Herman | Dentist | 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 | 2020-07-22 |
| 1598383267 | Tingxi Liu | Dentist | 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 | 2020-07-09 |
| 1457976680 | Alexandria Horner | Student in an Organized Health Care Education/Training Program | 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 | 2020-06-13 |
| 1184248692 | Asita Jenani Vinayagalingam | Student in an Organized Health Care Education/Training Program | 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 | 2020-05-31 |
| 1659993384 | Monica Gandhi | Student in an Organized Health Care Education/Training Program | 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 | 2020-05-15 |
| 1962023705 | Alexa Simmons | Student in an Organized Health Care Education/Training Program | 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 | 2020-05-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1932645405 | Diane Louise Dodson | Counselor | 5500 Trumbull Apt 315, Detroit, MI 48208 | 2017-01-09 |
| 1164881306 | Cory Eugene Martin | Counselor | 1852 W. Grand Blvd., Detroit, MI 48208 | 2016-02-16 |
| 1578947784 | Hamza Belhaj | Dentist | 2700 Martin Luther King Jr Blvd, Detroit, MI 48208 | 2015-07-17 |
| 1942629167 | Diana Pool | Counselor | 3737 Lawton, Detroit, MI 48208 | 2014-04-15 |
| 1124467048 | Aisha Williams | Social Worker | 4707 Vinewood St., Detroit, MI 48208 | 2013-06-25 |
| 1295079895 | Mia Love | Nurse Practitioner | 2959 Martin Luther King Jr Blvd, Detroit, MI 48208 | 2012-11-20 |
| 1992064356 | Valarie Egeria Foulks | Counselor | 2051 W. Grand Blvd, Detroit, MI 48208 | 2012-05-04 |
| 1023304078 | Ayana Njeri Davis | Massage Therapist | 2550 W. Grand Blvd, Detroit, MI 48208 | 2011-06-28 |
| 1184922627 | Shar Inc. | Community Based Residential Treatment Facility, Mental Illness | 1852 W.grand Blvd, Detroit, MI 48208 | 2011-03-08 |
| Find all providers in zip 48208 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477903904 | Abed Yakan | Dentist | 2700 Martin Luther King Jr. Blvd., 358, Detroit, MI 48208-2576 | 2016-06-15 |
| 1932308566 | Haissam A Kanaan | Dentist | Oral and Maxillofacial Surgery - Uhc 2f, 4201 St. Antoine Street, Detroit, MI 48201 | 2007-07-13 |
| 1912035817 | Suzanne Pasternak | Dentist | 4201 Saint Antoine St Ste 2f, Detroit, MI 48201-2153 | 2007-03-01 |
| 1619479763 | Amir Allhaji | Dentist | 4201 Saint Antoine St, Detroit, MI 48201 | 2018-03-05 |
| 1629510482 | Dds-tapestry | Dentist | 7633 E Jefferson Ave, Ste 200, Detroit, MI 48214-3730 | 2016-11-10 |
| 1164829438 | David Scott Coviak | Dentist | 7633 E Jefferson Ave, Suite 70, Detroit, MI 48214-3730 | 2014-12-02 |
| 1124428198 | Matthew Cannavo | Dentist | 7633 E Jefferson Ave, Suite 70, Detroit, MI 48214-3730 | 2014-08-27 |
| 1023442399 | Ibrahim El Deeb Zakhary | Dentist | 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 | 2013-08-22 |
| 1881971398 | Helena Michelle Perez | Dentist | 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 | 2011-11-11 |
| 1053608752 | Kyle Klooster | Dentist | 7633 E Jefferson Ave, Suite 70, Detroit, MI 48214-3730 | 2011-07-01 |
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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.