IndividualActive
Jayaprakash Gosalakkal, MD
NPI 1669764627 · Neurology with Special Qualifications in Child Neurology Physician · Detroit, MI
Provider details
- NPI number
- 1669764627
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 35-098366 (OH)
Practice location
7633 E Jefferson Ave
Ste 270
Detroit, MI 48214
Phone: (313) 499-1282
Fax: (313) 499-1324
Mailing address
7633 E Jefferson Ave
Detroit, MI 48214
Registry dates
- Enumerated
- 2011-05-10
- Last updated
- 2019-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.