NPI 1902065014

Shyam Prasad Aravindaksha, BDSMDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Warren, MI

Practice location

Address: 29427 Ryan Rd, Warren, MI 48092-2203
Phone: (586) 755-9340
Fax: (586) 755-9341

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 2901020544 (MI)

Other Oral & Maxillofacial Surgery providers in Michigan →

Registry record

NPI: 1902065014
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jun 2008
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.