Katragadda, Vatsala
Katragadda, Vatsala is an individual health care provider with primary practice located at 861 Monroe Street , Dearborn MI 48124. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Katragadda, Vatsala can be contacted via phone (313) 274-1800.Contact Information
Primary practice address
861 Monroe Street
Dearborn MI 48124
Phone: (313) 274-1800
Fax: (313) 274-8717
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301066984 | Michigan |
| Other Service Providers / Specialist | 174400000X | 4301066984 | Michigan |
Profile Details
| NPI number | 1841270634 |
|---|---|
| LBN Legal business name | Katragadda, Vatsala |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Jul 11th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841270634 | NPPES |
| Michigan | MEDICAID | 104623258 |
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