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EASTSIDE NEUROSURGERY PC
NPI 1952596926
Specialist in Detroit, MI

Active since September 12, 2007
22201 MOROSS RD, SUITE 352, DETROIT, MI 48236(313) 343-7900(313) 343-7001 Get Directions Write a Review

NPPES record last updated: December 10, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eastside Neurosurgery Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTSIDE NEUROSURGERY PC (NPI 1952596926) is a healthcare organization registered as a specialist in Detroit, Michigan and active in the NPI registry since September 2007. The organization lists Susan A Graham, Manager, as its authorized official.

NPPES Registry Identity

NPI1952596926
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameEASTSIDE NEUROSURGERY PC
Location Address22201 MOROSS RD, SUITE 352Detroit, MI 48236-2169
Mailing Address22201 Moross Rd, Suite 352Detroit, MI 48236-2169 · (313) 343-7900 · Fax (313) 343-7001
Phone(313) 343-7900
Fax(313) 343-7001
Organization SubpartNo
Authorized OfficialSusan A GrahamManager · (313) 343-8833
Enumeration DateSeptember 12, 2007
Last NPPES UpdateDecember 10, 2010
✔ NPI 1952596926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MI · 4301406954
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
22201 MOROSS RD, Detroit, MI 48236
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUDOLPH MENCHL JR. MD
Internal Medicine
22201 MOROSS RD, SUITE 150
DETROIT, MI 48236
Wayne County (313) 886-8787
DR. SAJITHAA VARADARASA M.D.
Student in an Organized Health Care Education/Training Program
22201 MOROSS RD, SUITE 50
DETROIT, MI 48236
Wayne County (313) 343-7774
DEEPAK GOPALBHAI PATEL MD
Pediatrics (Neonatal-Perinatal Medicine)
22201 MOROSS RD, 270
DETROIT, MI 48236
Wayne County (313) 343-3481
DR. ANDREY ALEX VOLKOV D.O
Neurological Surgery
22201 MOROSS RD, SUITE 352
DETROIT, MI 48236
Wayne County (313) 343-7900
JOHN THOMAS ADAMS MD
Pediatrics (Neonatal-Perinatal Medicine)
22201 MOROSS RD, 270
DETROIT, MI 48236
Wayne County (313) 343-3481
ST. JOHN HOSPITAL & MEDICAL CENTER
General Acute Care Hospital
22201 MOROSS RD, SUITE 50
DETROIT, MI 48236
Wayne County (313) 343-7774
ST. JOHN HOSPITAL AND MEDICAL CENTER
General Acute Care Hospital
22201 MOROSS RD, PROFESSIONAL BUILDING TWO, SUITE 50
DETROIT, MI 48236
Wayne County (313) 343-7774
NATALIE RENEE KONTOS DO
Pediatrics
22201 MOROSS RD, PROFESSIONAL BUILDING 2, SUITE 70
DETROIT, MI 48236
Wayne County (313) 343-4279

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastside Neurosurgery PC's NPI number?

The NPI number for Eastside Neurosurgery PC is 1952596926. It was assigned to this organization in the NPPES registry on September 12, 2007.

Where is Eastside Neurosurgery PC located?

Eastside Neurosurgery PC is located at 22201 Moross Rd Suite 352, Detroit, MI 48236. The listed phone number is (313) 343-7900.

What is Eastside Neurosurgery PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Eastside Neurosurgery PC was last updated on December 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.