Nutakki, Jyothi

Nutakki, Jyothi is an individual health care provider with primary practice located at 8435 Holly Rd , Grand Blanc MI 48439-1812. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Nutakki, Jyothi can be contacted via phone (810) 424-2400.

Contact Information

Primary practice address
8435 Holly Rd Grand Blanc MI 48439-1812
Phone: (810) 424-2400
Fax: (810) 579-7222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301069608 Michigan
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 4301069608 Michigan

Profile Details

NPI number 1235240359
LBN Legal business name Nutakki, Jyothi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Sep 20th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235240359 NPPES
Michigan MEDICAID 4518708

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