MEDICARE: DR. PRIYAMVADA NAGESH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	046503	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	260C876120	OTHER	MI	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1942314703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PRIYAMVADA NAGESH M.D.

Provider Business Mailing Address
First Line	:	1200 N WEST AVE,
Second Line	:	RECOVERY TECHNOLOGY, SUITE 400
City	:	JACKSON
State	:	MI
Zip	:	49202-2179
Country	:	US
Telephone Number	:	517-780-3336
Fax Number	:	517-796-4561

Provider Business Practice Location Address
First Line	:	1200 N WEST AVE,
Second Line	:	RECOVERY TECHNOLOGY, SUITE 400
City	:	JACKSON
State	:	MI
Zip	:	49202-2179
Country	:	US
Telephone Number	:	517-780-3336
Fax Number	:	517-796-4561

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	07/13/2011

Similar Medicare Providers

1275202673 — TAYLOR LYNN REEVE LMSW
Practice Location Address:

1200 N WEST AVE
JACKSON, MI
49202-2179

Practice Phone: 517-789-1200
Practice Fax:

1366496051 — MR. DENNIS J GLANDON CSW LPC
Practice Location Address:

1200 N WEST AVE , SUITE 400
JACKSON, MI
49202-2179

Practice Phone: 517-780-3336
Practice Fax: 517-796-4561

1073568374 — MS. MITZI AUDRA DIESING MSW, LMSW
Practice Location Address:

1200 N. WEST AVE. , SUITE 810
JACKSON, MI
49202-2179

Practice Phone: 517-300-3985
Practice Fax: 517-816-1267

1164441721 — DR. PRINCEWELL UGOJINTA ONWERE D.O.
Practice Location Address:

1200 N WEST AVE
JACKSON, MI
49202-2179

Practice Phone: 517-796-4540
Practice Fax:

1053425801 — DR. ANJALI J MEHTA M.D.
Practice Location Address:

1200 N WEST AVE
JACKSON, MI
49202-2179

Practice Phone: 517-780-3332
Practice Fax: 517-796-4532

1053425736 — DR. VIOLETTA A KAMINSKA-GALECKA M.D.
Practice Location Address:

1200 N WEST AVE
JACKSON, MI
49202-2179

Practice Phone: 517-789-2481
Practice Fax: 517-796-4532

Directions to “ DR. PRIYAMVADA NAGESH M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.