NPI 1992092431 · live from the CMS NPI Registry
Jennifer Nakka Chalam, M.D.
Pediatrics, Pediatric Emergency Medicine in Detroit, MI. National Provider Identifier 1992092431, active.
NPI record
| NPI | 1992092431 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Pediatric Emergency Medicine 2080P0204X |
| Practice location | 22101 Moross Rd, Detroit, MI 48236 |
| Practice phone | 313-343-4000 |
| Enumerated | July 5, 2011 |
| Last updated | December 30, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Pediatric Emergency Medicine | 2080P0204X | 35458 (AL) |
| Pediatrics, Pediatric Emergency Medicine | 2080P0204X | ME169995 (FL) |
| Pediatrics, Pediatric Emergency Medicine primary | 2080P0204X | 4301502357 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.