DR. KAJALI MISHRA


Address: 2799 W. Grand Boulevard, Henry Ford Hospital, Medical Education Department, Detroit, MI 48202
Phone: 3139161888

DR. KAJALI MISHRA (NPI# 1992230114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992230114
Entity Type Individual
Full Name DR. KAJALI MISHRA
Credential M.D.
Practice Address 2799 W. Grand Boulevard
Henry Ford Hospital, Medical Education Department
Detroit
MI 48202
Mailing Address 2160 S 1st Ave
Maywood
IL 60153-3328
Practice Telephone 3139161888
Practice Fax Number 3139161394
Mailing Telephone 8885847888
Mailing Fax Number 8885847888
Enumeration Date 2017-04-25
Last Update Date 2020-05-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RG0100X Internal Medicine
Specialization: Gastroenterology
036.152030 IL Allopathic & Osteopathic Physicians
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 2799 W. GRAND BOULEVARD
HENRY FORD HOSPITAL, MEDICAL EDUCATION DEPARTMENT
City DETROIT
State MI
Zip Code 48202

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750583936 Christopher Charles Fain Internal Medicine 2799 W. Grand Boulevard, Henry Ford Hospital, Detroit, MI 48202 2007-06-01
1558985390 Tyrelle Kate Elizabeth Hunt Family Medicine 2799 W. Grand Boulevard, Henry Ford Hospital - Medical Education Dept., Detroit, MI 48202-2608 2020-06-06
1306460597 Luis Fernando Ng Sueng Student in an Organized Health Care Education/Training Program 2799 W. Grand Boulevard, Henry Ford Hospital, Medical Education Department, Detroit, MI 48202 2020-06-03
1083234025 Suzana Khalil Student in an Organized Health Care Education/Training Program 2799 W. Grand Boulevard, Detroit, MI 48202 2020-04-20
1386263440 Nayha Patel Shetty Student in an Organized Health Care Education/Training Program 2799 W. Grand Boulevard, Detroit, MI 48202-2608 2020-04-09
1316576267 Brendan M Franz Student in an Organized Health Care Education/Training Program 2799 W. Grand Boulevard, Detroit, MI 48202-2608 2020-04-03
1174152904 Joshua Tear Gaudette Student in an Organized Health Care Education/Training Program 2799 W. Grand Boulevard, Henry Ford Hospital, Medical Education Department, Detroit, MI 48202-2608 2020-04-03
1174152136 Yusaf Ahmed Student in an Organized Health Care Education/Training Program 2799 W. Grand Boulevard, Detroit, MI 48202-2608 2020-04-02
1366070682 Ali Rteil Student in an Organized Health Care Education/Training Program 2799 W. Grand Boulevard, Henry Ford Hospital, Medical Education Department, Detroit, MI 48202 2020-03-31
1023646684 Tarandeep Singh Student in an Organized Health Care Education/Training Program 2799 W. Grand Boulevard, Detroit, MI 48202-2608 2020-03-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710584602 Andrea Irene Martin Audiologist 2799 E Grand Blvd, Detroit, MI 48202 2020-10-05
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
1912529801 Aroob Nabil Nimer Sweidan Student in an Organized Health Care Education/Training Program 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 2020-05-13
1306485636 Katie Burlen-davis Registered Nurse 9045 Woodward Ave, Detroit, MI 48202 2020-01-03
1407401250 Santhalakshmi Angappan Student in an Organized Health Care Education/Training Program Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 2019-08-08
1851945687 Walter Mitini Etoh Nurse Practitioner Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 2019-07-30
1467913756 Andrew Michael Schock Emergency Medicine Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 2019-03-28
1700363892 Zaid Al-saheli Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 2018-07-23
1932690096 Yusuf Naser Alalwan Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 2018-05-24
1568952729 Kelvin Sellers Massage Therapist 832 Seward, Detriot, MI 48202 2018-05-14
Find all providers in zip 48202

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

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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Competitor

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City DETROIT
Zip Code 48202

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Dataset Information

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.

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