JAYAPRAKASH A. GOSALAKKAL MD – NPI #1669764627
Psychiatry & Neurology

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.

JAYAPRAKASH GOSALAKKAL is a psychiatry & neurologist located in DETROIT, MI. NPPES has assigned the NPI number 1669764627 to JAYAPRAKASH GOSALAKKAL on May 10, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084N0402X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology

The NPI profile was previously updated about 7 years ago on Jan 18, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JAYAPRAKASH GOSALAKKAL below.

NPI Profile for
JAYAPRAKASH A. GOSALAKKAL

NPI Number
1669764627
Enumeration Date

(more than 15 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JAYAPRAKASH A. GOSALAKKAL
Credentials
MD
Primary location
7633 E JEFFERSON AVE
STE 270
DETROIT, MI 48214
Phone: (313) 499-1282 Fax: (313) 499-1324
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for JAYAPRAKASH GOSALAKKAL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICAL LICENSUREOH35-098366
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084N0402X
- Psychiatry & Neurology / Neurology with Special Qualifications in Child Neurology (Primary)
MI 4301104329
208VP0000X
- Pain Medicine / Pain Medicine
MI 4301104329
208000000X
- Pediatrics
OH 35-098366

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.