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NARSIMHA GOTTAM M.D. P C NPI 1538348172


NPI Information

NPI: 1538348172
Provider Name: NARSIMHA GOTTAM M.D. P C
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
7633 E JEFFERSON AVE.
SUITE #360
DETROIT, MI
ZIP 48214
Phone: (313) 499-4769
Get Directions

NARSIMHA GOTTAM M.D. P C is a cardiovascular disease internal medicine in Detroit, MI. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. NARSIMHA GOTTAM M.D. P C NPI is 1538348172. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7633 E JEFFERSON AVE.
SUITE #360
DETROIT, MI
ZIP 48214-732
Phone: (313) 499-4769
Fax: (313) 822-2791

The provider's authorized official is Narsimha Reddy Gottam .
The authorized official title is Owner and has the following contact phone number (313) 499-4769.

The enumeration date for this NPI number is 10/31/2007 and was last updated on 11/1/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease1020303MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10N71510001MEDICARE PINMICHIGAN
2104504749MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.