IndividualActive
Shyam Prasad Aravindaksha, BDS, MDS
NPI 1902065014 · Oral & Maxillofacial Surgery (D.M.D.) · Warren, MI
Provider details
- NPI number
- 1902065014
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- BDS, MDS
- Sex
- Male
- Sole proprietor
- No
- License
- 2901020544 (MI)
Practice location
29427 Ryan Rd
Warren, MI 48092-2203
Phone: (586) 755-9340
Fax: (586) 755-9341
Mailing address
29427 Ryan Rd
Warren, MI 48092-2203
Registry dates
- Enumerated
- 2008-06-03
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.