Vijaya Gopal Kotha Md Pc

LBN: Vijaya Gopal Kotha Md Pc
Vijaya Gopal Kotha Md Pc is an health care organization with primary practice located at 22101 Moross Rd Fl 6 , Detroit MI 48236-2148. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Vijaya Gopal Kotha Md Pc can be contacted via phone (313) 343-7560, or through Kotha, Vijaya Gopal via phone (313) 595-7336.

Contact Information

Primary practice address
22101 Moross Rd Fl 6 Detroit MI 48236-2148
Phone: (313) 343-7560
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kotha, Vijaya Gopal Doctor of Medicine (MD)
Phone: (313) 595-7336

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1285126797
LBN Legal business name Vijaya Gopal Kotha Md Pc
DBA Doing business as
Authorized official Kotha, Vijaya Gopal Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2018
Last updated May 31st, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285126797 NPPES
Michigan Other 4301058577 LICENSE NUMBER

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