Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Padma Padival

Individual provider Gerontology Nurse Practitioner · NPI 1295478113

Padma Padival is a Gerontology Nurse Practitioner in Southgate, Michigan. Licensed in Michigan. Registered with an NPI since 2022.

Licensed in
MI
In the registry since
2022

Practice location Address checks out

15150 Fort St
Southgate, MI 48195-1302
Phone: (734) 282-4800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence AG03220068 (MI)

Record details

NPI number1295478113
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 18, 2022
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024
Mailing address45948 Windridge Ln, Canton, MI 48188-6223

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