DR. JUSTIN GRAY (NPI# 1639603269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639603269 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN GRAY |
| Credential | MD |
| Practice Address |
3901 Chrysler Service Dr Detroit MI 48201 |
| Mailing Address |
27207 Gateway Dr W Apt 305 Farmington Hills MI 48334-4991 |
| Practice Telephone | 3139933964 |
| Mailing Telephone | 9062811375 |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | MI | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407315385 | Justin D Gray | Licensed Practical Nurse | 32 B Fortune Valley Lane, Saugerties, NY 12477 | 2019-03-19 |
| 1396920120 | Justin J Gray | Physical Therapist | 73 Nealy Blvd, Bldg 256, Hampton, VA 23665-2023 | 2007-12-28 |
| 1518439397 | Justin James Gray | Clinical Neuropsychologist | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2018-12-18 |
| 1588195697 | Justin Wade Gray | Student in an Organized Health Care Education/Training Program | 100 E 77th St, New York, NY 10075-1850 | 2017-03-22 |
| 1174977458 | Justin Gray | Counselor | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2016-04-22 |
| Street Address |
3901 CHRYSLER SERVICE DR |
| City | DETROIT |
| State | MI |
| Zip Code | 48201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821036989 | Gary Lyn Rhodes | Psychologist | 3901 Chrysler Service Dr, Detroit, MI 48201-2167 | 2006-06-02 |
| 1629634878 | Shameer Mehdikhan | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Service Dr, Detroit, MI 48201 | 2019-05-14 |
| 1992239560 | Sandra Helena Reyes | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Service Dr, Suite 5-a, Detroit, MI 48201 | 2017-04-20 |
| 1316470347 | Tyler Joseph William Hecht | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Service Dr, Suite 5-a, Detroit, MI 48201 | 2017-04-06 |
| 1568822963 | Manisha Leary | Social Worker | 3901 Chrysler Service Dr, Detroit, MI 48201-2167 | 2016-02-26 |
| 1932596731 | Takako Benn | Psychiatry & Neurology | 3901 Chrysler Service Dr, Suite 5-a, 538.4, Detroit, MI 48201 | 2015-04-20 |
| 1346631470 | Lacretia Fisher | Registered Nurse | 3901 Chrysler Service Dr, Tolan Park, Detroit, MI 48201-2167 | 2015-02-11 |
| 1285950212 | Lydia C Ditirro | Psychiatry & Neurology | 3901 Chrysler Service Dr, Tolan Park, Detroit, MI 48201-2167 | 2010-04-15 |
| 1720257207 | Walter Otto Siegl | Social Worker | 3901 Chrysler Service Dr, Tolan Park, Detroit, MI 48201-2167 | 2008-02-28 |
| 1376742056 | David M Ledgerwood | Psychologist | 3901 Chrysler Service Dr, Tolan Park, Detroit, MI 48201-2167 | 2007-07-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514702 | Leeza Fortner | Student in an Organized Health Care Education/Training Program | 259 Mack Ave Ste 4514, Detroit, MI 48201-2427 | 2020-10-06 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912516790 | Omar Choudhury | Student in an Organized Health Care Education/Training Program | Henroy Ford Hospital, Medical Education Department ., 2799 W. Grand Boulevard, Detroit, MI 48202-2608 | 2020-07-28 |
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1932725959 | Devonn Eli Israil | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St Rm 2d, Detroit, MI 48201-2153 | 2020-06-25 |
| 1457976292 | Ali Nauman Khan | Student in an Organized Health Care Education/Training Program | Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 | 2020-06-08 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
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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.