Individual provider · Type 1 NPI

Pranish Kantak, MD MPH

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1528635000 Active

Practice location

2799 W. Grand Boulevard
Detroit, MI 48202-2608

Call (313) 916-1093 Map

Fax (313) 916-7139

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X4351048706 (MI)

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.

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About NPI 1528635000

Pranish Kantak, MD MPH's National Provider Identifier is 1528635000, issued on Jun 4, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Jun 4, 2021.