Provider Demographics
NPI:1790808947
Name:GROVER, KAVITA MOHINDRA (MD)
Entity Type:Individual
Prefix:DR
First Name:KAVITA
Middle Name:MOHINDRA
Last Name:GROVER
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Gender:F
Credentials:MD
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Mailing Address - Street 1:2799 W GRAND BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202-2689
Mailing Address - Country:US
Mailing Address - Phone:313-916-2644
Mailing Address - Fax:313-916-3014
Practice Address - Street 1:2799 W GRAND BLVD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-2608
Practice Address - Country:US
Practice Address - Phone:313-916-2644
Practice Address - Fax:313-916-3014
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2010-12-15
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Provider Licenses
StateLicense IDTaxonomies
MI43010797522084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology