Individual provider · Type 1 NPI

Jayaprakash Ayillath Gosalakkal, MD

Neurology with Special Qualifications in Child Neurology Physician · Detroit, MI

NPI number 1669764627 Active

Practice location

7633 E Jefferson Ave, Ste 270
Detroit, MI 48214

Call (313) 499-1282 Map

Fax (313) 499-1324

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X35-098366 (OH)
Pediatrics Physician 208000000XA 74084 (CA)
Neurology with Special Qualifications in Child Neurology Physician 2084N0402XA 74084 (CA)
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X35-098366 (OH)
Pain Medicine Physician 208VP0000X4301104329 (MI)
Neurology with Special Qualifications in Child Neurology Physician Primary 2084N0402X4301104329 (MI)

Neurology with Special Qualifications in Child Neurology Physician: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

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About NPI 1669764627

Jayaprakash Ayillath Gosalakkal, MD's National Provider Identifier is 1669764627, issued on May 10, 2011. The primary taxonomy on file is Neurology with Special Qualifications in Child Neurology Physician (2084N0402X), and the practice location is in Detroit, MI. The record was last updated on Jan 18, 2019.