ARUNIMA SHRIVASTAVA (NPI# 1770554164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770554164 |
| Entity Type | Individual |
| Full Name | ARUNIMA SHRIVASTAVA |
| Credential | M.D. |
| Practice Address |
4420 E Davison St Detroit MI 48212-1744 |
| Practice Telephone | 3133691500 |
| Practice Fax Number | 3133691205 |
| Mailing Telephone | 3133691500 |
| Mailing Fax Number | 3133691205 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2014-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
4301068357 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4478175-10 | 05 |
| Street Address |
4420 E DAVISON ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48212-1744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730172529 | Knight Prescriptions, Ltd | Pharmacy | 4420 E Davison St, Detroit, MI 48212-1744 | 2005-08-26 |
| 1366954067 | E Davidson Rx LLC | Pharmacy | 4420 E Davison St, Detroit, MI 48212-1744 | 2017-11-02 |
| 1659808053 | George Dominic Mammo | Family Medicine | 4420 E Davison St, Detroit, MI 48212-1744 | 2017-05-16 |
| 1982881025 | Great Lakes Family Medical Center Pllc | Clinic/Center | 4420 E Davison St, Detroit, MI 48212-1744 | 2008-01-30 |
| 1598737769 | Great Lakes Family Medical Center Pllc | Family Medicine | 4420 E Davison St, Detroit, MI 48212-1744 | 2006-02-02 |
| 1316918899 | Amitabh Paharia | Family Medicine | 4420 E Davison St, Detroit, MI 48212-1744 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
| 1386243178 | Hoover Internal Medicine Pllc | Internal Medicine | 4067 Georgia St, Hamtramck, MI 48212 | 2020-10-22 |
| 1013514538 | Ranim Suliman | Dentist | 9824 Conant St, Hamtramck, MI 48212 | 2020-10-07 |
| 1942770631 | Joann Harrison | Nurse Practitioner | 17941 St. Aubin Street, Detroit, MI 48212 | 2018-11-26 |
| 1134605298 | Advanced Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 9740 Conant St Ste 4, Hamtramck, MI 48212 | 2018-07-12 |
| 1477051530 | Detroit Green Carrot LLC | Foster Care Agency | 3829 Alpha, Detroit, MI 48212 | 2018-01-24 |
| 1528595451 | Mercy Prakash | Nurse Practitioner | 3120 Carpenter St. Ste 201, Adult & Pediatric Medicine Pllc, Hamtramck, MI 48212 | 2017-05-23 |
| 1033408935 | Hamtramck Pediatrics | Clinic/Center | 12033 Conant Road, Hamtramck, MI 48212 | 2011-03-31 |
| 1194051557 | Niaah Ellis | Counselor | 4812 E. Mcnichols, Detroit, MI 48212 | 2009-10-20 |
| 1912136797 | Latoya T Jackosn | Counselor | Sunshine Treatment In, 4821 E. Mcnichols, Detroit, MI 48212 | 2009-07-14 |
| Find all providers in zip 48212 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215481981 | Metro Physicians Pllc | Family Medicine | 5555 Conner St Ste 2075, Detroit, MI 48213-3492 | 2016-08-10 |
| 1821267832 | Eastlake Medical Center | Family Medicine | 646 Chene St, Detroit, MI 48207-3979 | 2008-02-23 |
| 1558442830 | Southeastern Michigan Services, Inc. | Family Medicine | 17755 Winston St, Detroit, MI 48219-3078 | 2006-10-17 |
| 1558341859 | Jerome Frankel | Family Medicine | 14001 Greenfield Rd, Detroit, MI 48277-0001 | 2006-01-20 |
| 1740505270 | Hina Syeda Hussaini | Family Medicine | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2010-03-26 |
| 1083788590 | Geralyn M. Sarti | Family Medicine | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2006-11-17 |
| 1306910815 | Thomas R. Palmer | Family Medicine | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-11-17 |
| 1568561959 | Arletha Lenise Anderson | Family Medicine | 503 W Grand Blvd, Detroit, MI 48216-2200 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124651435 | Navihealth Michigan Hbpc, PC | Family Medicine | 2 Towne Sq Ste 275, Southfield, MI 48076-3719 | 2020-02-14 |
| 1447610704 | Provider Service Organization | Family Medicine | 7233 Provincial Ct, Canton, MI 48187-2121 | 2016-02-29 |
| 1659704633 | David Gordon Reed | Family Medicine | 3620 Chula Vista Dr, East Jordan, MI 49727-8629 | 2013-08-14 |
| 1174800411 | New Life Medical Senior Care PC | Family Medicine | 105 S Wildwood Xing Apt 20, Ludington, MI 49431-8719 | 2011-11-15 |
| 1306134085 | Jeremiah Lopez | Family Medicine | 804 Service Rd Ste A235, East Lansing, MI 48824-7015 | 2011-07-15 |
| 1770819344 | Midmichigan Geriatric Services Pllc | Family Medicine | 4823 Henry Dr, Saginaw, MI 48638-5631 | 2009-11-02 |
| 1982871265 | Daniel R Smalley | Family Medicine | 105 S Wildwood Crossing 20, Ludington, MI 49431-8719 | 2008-05-15 |
| 1740479278 | William Kerr Md PC | Family Medicine | 650 N Center Ave, Suite 3 B, Gaylord, MI 49735-1682 | 2007-10-22 |
| 1740337393 | Dewey Carl Benson | Family Medicine | 3877 E M72, Williamsburg, MI 49690 | 2007-01-05 |
| 1508926411 | Paul Theodore Werner | Family Medicine | 2929 Churchill Ln, Saginaw, MI 48603-2675 | 2006-12-11 |
| Find all providers with the same taxonomy | ||||
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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.