Dr Jayaprakash Ayillath Gosalakkal, MD - Psychiatry & Neurology in Detroit, MI

Dr Jayaprakash Ayillath Gosalakkal, MD is a Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology physician based in Detroit, Michigan. Dr Jayaprakash Ayillath Gosalakkal is licensed to practice in Michigan (license number 4301104329) and his current practice location is 7633 E Jefferson Ave, Ste 270, Detroit, Michigan. He can be reached at his office (for appointments etc.) via phone at (313) 499-1282.

NPI number for Dr Jayaprakash Ayillath Gosalakkal is 1669764627 and his current mailing address is 7633 E Jefferson Ave, Ste 270, Detroit, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669764627.

Contact Information

Dr Jayaprakash Ayillath Gosalakkal, MD
7633 E Jefferson Ave, Ste 270,
Detroit, MI 48214
(313) 499-1282
(313) 499-1324

Map and Direction




Physician's Profile

Full NameDr Jayaprakash Ayillath Gosalakkal
GenderMale
SpecialityPsychiatry & Neurology - Neurology With Special Qualifications In Child Neurology
Location7633 E Jefferson Ave, Detroit, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1669764627
  • Provider Enumeration Date: 05/10/2011
  • Last Update Date: 01/18/2019

Medical Identifiers

Medical identifiers for Dr Jayaprakash Ayillath Gosalakkal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669764627NPI-NPPES
35-098366OtherOHMEDICAL LICENSURE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 35-098366 (Ohio)Secondary
208000000XPediatrics A 74084 (California)Secondary
2084N0402XPsychiatry & Neurology - Neurology With Special Qualifications In Child Neurology A 74084 (California)Secondary
2084N0402XPsychiatry & Neurology - Neurology With Special Qualifications In Child Neurology 35-098366 (Ohio)Secondary
208VP0000XPain Medicine - Pain Medicine 4301104329 (Michigan)Secondary
2084N0402XPsychiatry & Neurology - Neurology With Special Qualifications In Child Neurology 4301104329 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jayaprakash Ayillath Gosalakkal is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jayaprakash Ayillath Gosalakkal, MD
7633 E Jefferson Ave, Ste 270,
Detroit, MI 48214

Ph: (313) 499-1282
Dr Jayaprakash Ayillath Gosalakkal, MD
7633 E Jefferson Ave, Ste 270,
Detroit, MI 48214

Ph: (313) 499-1282

Reviews and Comments


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