1760363469 NPI number — MRINALINI DEVI GOVINDARAHAN KAMALA

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760363469 NPI number — MRINALINI DEVI GOVINDARAHAN KAMALA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GOVINDARAHAN KAMALA
Provider First Name:
MRINALINI DEVI
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1760363469
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/09/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
50/38, JAIN APTS T.F. RATHINVAEL PANDIAN ROAD
Provider Second Line Business Mailing Address:
GOLDEN GEORGE NAGAR MOGAPPAIR EAST
Provider Business Mailing Address City Name:
CHENNAI
Provider Business Mailing Address State Name:
TAMILNADU
Provider Business Mailing Address Postal Code:
600107
Provider Business Mailing Address Country Code:
IN
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CHILDREN'S HOSPITAL OF MICHIGAN
Provider Second Line Business Practice Location Address:
3901 BEAUBIEN BLVD
Provider Business Practice Location Address City Name:
DETROIT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-993-0139
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/09/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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