ANJANA MYNENI (NPI# 1316063274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316063274 |
| Entity Type | Individual |
| Full Name | ANJANA MYNENI |
| Credential | M.D. |
| Practice Address |
43494 Woodward Ave Suite 208 Bloomfield Hills MI 48302-5052 |
| Practice Telephone | 2483357740 |
| Practice Fax Number | 2483387979 |
| Mailing Telephone | 2483357740 |
| Mailing Fax Number | 2483387979 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2011-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
4301087510 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MEDICARE | N50760005 | 01 |
| Street Address |
43494 WOODWARD AVE SUITE 208 |
| City | BLOOMFIELD HILLS |
| State | MI |
| Zip Code | 48302-5052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427053644 | Mark A Pleatman | Surgery | 43494 Woodward Ave, Ste 202, Bloomfield Hills, MI 48302-5054 | 2005-06-15 |
| 1013535087 | Tiffany Monique Thompson | Nurse Practitioner | 43494 Woodward Ave, Bloomfield Hills, MI 48302-5052 | 2020-07-07 |
| 1639472376 | Elizabeth F Jakobcic | Physician Assistant | 43494 Woodward Ave, Bloomfield Hills, MI 48302-5052 | 2010-12-20 |
| 1811133713 | Maria Sinishtaj | Physician Assistant | 43494 Woodward Ave, Suite 110, Bloomfield Hills, MI 48302-5052 | 2008-12-23 |
| 1518156645 | Bloomfield Internal Medicine Assoc PC | Internal Medicine | 43494 Woodward Ave, Suite 105, Bloomfield Hills, MI 48302-5052 | 2007-10-15 |
| 1013108810 | Bloomfield Neurology Clinic, P.C. | Psychiatry & Neurology | 43494 Woodward Ave, Suite 103, Bloomfield Hills, MI 48302-5052 | 2007-08-06 |
| 1215154497 | Grunberger Diabetes Medical Center, PC | Internal Medicine | 43494 Woodward Ave, Suite 208, Bloomfield Hills, MI 48302-5052 | 2007-04-19 |
| 1467511808 | Kenneth Kuehn Chun | Internal Medicine | 43494 Woodward Ave, Suite 105, Bloomfield Hills, MI 48302-5052 | 2006-12-08 |
| 1265503031 | Abul Shamsuddoha | Internal Medicine | 43494 Woodward Ave, Ste 103, Bloomfield Hills, MI 48302-5053 | 2006-11-13 |
| 1134202732 | Bloomfield Neurology Clinic, P.C. | Psychiatry & Neurology | 43494 Woodward Ave, Suite 103, Bloomfield Hills, MI 48302-5052 | 2006-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242634 | Lamuriel Lewis | Registered Nurse | 1430 South Telegraph Rd, Bloomfield Hills, MI 48302 | 2020-10-09 |
| 1730794082 | Ola Glezen | Registered Nurse | 1410 South Telegraph Road, Bloomfield Hills, MI 48302 | 2020-09-14 |
| 1114563400 | Henry Ford Health System | Pharmacy | 1961 S Telegraph Rd, Bloomfield Twp, MI 48302 | 2019-11-21 |
| 1508407982 | P-cor LLC | Eyewear Supplier (Equipment, not the service) | 1961 S. Telegraph Rd, Bloomfield Hills, MI 48302 | 2019-10-07 |
| 1144887936 | Christine Beth Wilson De Medina | Psychologist | W-4111 Andover Road, Bloomfield Hills, MI 48302 | 2019-05-28 |
| 1942793799 | Andrew Joseph Grix | Physical Therapist | 2525 S Telegraph Rd Ste 314, Bloomfield Hills, MI 48302 | 2018-06-06 |
| 1306398078 | Shaleene Mayo | Mechanotherapist | 43902 Woodward # 120, Bloomfield Hills, MI 48302 | 2016-10-28 |
| 1588112981 | Carol Van Kampen | Social Worker | 2550 S. Telegraph, Bloomfield Hills, MI 48302 | 2016-09-14 |
| 1770933848 | Rachelle Savalli | Family Medicine | 1961 South Telegraph Rd, Bloomfield Twp, MI 48302 | 2016-06-20 |
| 1699155366 | Aleksey Mishulin | Ophthalmology | 1750 S Telegraph Ste 205, Bloomfield Hills, MI 48302 | 2015-06-08 |
| Find all providers in zip 48302 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003184748 | Khachorndej Vibhasiri | Internal Medicine | 732 Brookwood Walke, Bloomfield Hills, MI 48304-1900 | 2011-12-08 |
| 1215154497 | Grunberger Diabetes Medical Center, PC | Internal Medicine | 43494 Woodward Ave, Suite 208, Bloomfield Hills, MI 48302-5052 | 2007-04-19 |
| 1790731693 | David M Bradlee | Internal Medicine | 43902 Woodward Ave, Suite 240, Bloomfield Hills, MI 48302-5011 | 2006-05-25 |
| 1477558450 | George Grunberger | Internal Medicine | 43494 Woodward Ave, Ste 208, Bloomfield Hills, MI 48302-5054 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851866172 | Grace Endocrine Services Pllc | Internal Medicine | 38864 Hilldale St, Clinton Township, MI 48036-2561 | 2018-10-13 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1427345065 | Ali Alexandru Achira | Internal Medicine | 4700 Greenfield Rd Ste 2c, Dearborn, MI 48126-4124 | 2011-07-04 |
| 1689979569 | Alzohaili Medical Consultants Md PC | Internal Medicine | 5250 Auto Club Dr Ste 200, Dearborn, MI 48126-2619 | 2011-01-24 |
| 1528377082 | Randall Whitcomb | Internal Medicine | 1527 High Hollow Dr, Ann Arbor, MI 48103-9621 | 2010-10-01 |
| 1639400799 | Kp Anandakrishnan Md PC | Internal Medicine | 5189 Venoy Rd, Wayne, MI 48184-2545 | 2010-01-28 |
| 1194962530 | Richard Michael Mortensen | Internal Medicine | 1301 Catherine St, 7641 Medical Sciences II, Ann Arbor, MI 48109-2026 | 2009-01-07 |
| 1235319872 | Endocrine Hospital Consultants, P.C. | Internal Medicine | 4782 Trailview, West Bloomfield, MI 48322-4572 | 2007-11-12 |
| 1174719025 | Center for Preventive Medicine PC | Internal Medicine | 20870 Mack Ave, Grosse Pointe Woods, MI 48236-1388 | 2007-09-24 |
| 1184820680 | Daniel Macias Md | Internal Medicine | 139 W Mansion St, Marshall, MI 49068-1119 | 2007-06-22 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD HILLS |
| Zip Code | 48302 |
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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.