Basic Information
| Provider Information | |||||||||
| NPI: | 1538365135 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NAKAI | ||||||||
| FirstName: | TEJPREET | ||||||||
| MiddleName: | KAUR | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3621 S STATE ST | ||||||||
| Address2: | |||||||||
| City: | ANN ARBOR | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481081633 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7346475299 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 39901 TRADITIONS DRIVE | ||||||||
| Address2: | SUITE 210 | ||||||||
| City: | NORTHVILLE | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48168 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2483054400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/21/2007 | ||||||||
| LastUpdateDate: | 01/14/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/14/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 252658 | MA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 20A11343 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RH0002X | 5101022132 | MI | N | Allopathic & Osteopathic Physicians | Internal Medicine | Hospice and Palliative Medicine | 207R00000X | 5101022132 | MI | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.