Gosalakkal, Jayaprakash Ayillath
Gosalakkal, Jayaprakash Ayillath is an sole proprietor health care provider with primary practice located at 7633 E Jefferson Ave Ste 270, Detroit MI 48214. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Gosalakkal, Jayaprakash Ayillath can be contacted via phone (313) 499-1282.Contact Information
Primary practice address
7633 E Jefferson Ave Ste 270
Detroit MI 48214
Phone: (313) 499-1282
Fax: (313) 499-1324
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35-098366 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A 74084 | California |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | A 74084 | California |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 35-098366 | Ohio |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 4301104329 | Michigan |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 4301104329 | Michigan |
Profile Details
| NPI number | 1669764627 |
|---|---|
| LBN Legal business name | Gosalakkal, Jayaprakash Ayillath |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2011 |
| Last updated | Jan 18th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669764627 | NPPES |
| Ohio | Other | 35-098366 | MEDICAL LICENSURE |
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