MRS. LUSINE B KIRAKOSYAN (NPI# 1669737961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669737961 |
| Entity Type | Individual |
| Full Name | MRS. LUSINE B KIRAKOSYAN |
| Credential | MD |
| Practice Address |
25100 Kelly Rd Roseville MI 48066 |
| Mailing Address |
893 Lafayette Ct Rochester Hills MI 48307-2919 |
| Practice Telephone | 5867717440 |
| Practice Fax Number | 5867719966 |
| Mailing Telephone | 9105461771 |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2018-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301100589 | MI | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
4301100589 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
25100 KELLY RD |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891724894 | Boris J Leheta | Psychiatry & Neurology | 25100 Kelly Rd, Roseville, MI 48066-4910 | 2006-07-02 |
| 1841628799 | University Neurosurgical Associates, PC | Neurological Surgery | 25100 Kelly Rd, Roseville, MI 48066-4910 | 2013-10-30 |
| 1174705842 | Wojciech D Kasprowicz | Physical Therapist | 25100 Kelly Rd, Roseville, MI 48066-4910 | 2007-12-04 |
| 1760673149 | Bio-magnetic Resonance Inc | Clinic/Center | 25100 Kelly Rd, Roseville, MI 48066-4910 | 2007-08-09 |
| 1922132778 | Michigan Neurology Institute-east, P.C. | Psychiatry & Neurology | 25100 Kelly Rd, Roseville, MI 48066-4910 | 2007-03-15 |
| 1285664680 | Paul A Cullis | Psychiatry & Neurology | 25100 Kelly Rd, Roseville, MI 48066 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477975506 | Hospital Neurology Services Inc | Psychiatry & Neurology | 211 Wesley Ct, Roseville, CA 95661-7913 | 2014-01-08 |
| 1285780718 | Wendy En-lok Brown | Psychiatry & Neurology | 2 Medical Plaza Dr Ste 205, Roseville, CA 95661 | 2007-01-26 |
| 1184642019 | Annette Marie Chihorek | Psychiatry & Neurology | 1020 Sun Down Way Ste 160, Roseville, CA 95661-4477 | 2006-07-18 |
| 1891724894 | Boris J Leheta | Psychiatry & Neurology | 25100 Kelly Rd, Roseville, MI 48066-4910 | 2006-07-02 |
| 1336749100 | Adult Neurology Specialists Inc | Psychiatry & Neurology | 729 Sunrise Ave Ste 616, Roseville, CA 95661-4548 | 2020-10-29 |
| 1871973677 | Benjamin Ferguson | Psychiatry & Neurology | 2 Medical Plaza Dr Ste 205, Roseville, CA 95661-3044 | 2015-06-05 |
| 1922414796 | Kauroon Mazdak Darya | Psychiatry & Neurology | 729 Sunrise Ave Ste 616, Roseville, CA 95661-4548 | 2014-07-01 |
| 1508166711 | Richard N Sauer M.d.,inc. | Psychiatry & Neurology | 729 Sunrise Ave Ste 616, Roseville, CA 95661-4548 | 2010-10-22 |
| 1598080053 | Erica Ayami-sato Byrd | Psychiatry & Neurology | 2 Medical Plaza Dr, Ste 205, Roseville, CA 95661 | 2010-03-28 |
| 1427283456 | Deepinder Sidhu | Psychiatry & Neurology | 1600 Eureka Rd, Roseville, CA 95661 | 2009-05-20 |
| Find all providers in ROSEVILLE | ||||
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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.