Amod S Tootla, MD is a
Specialist physician based in Waterford, Michigan. Amod S Tootla is licensed to practice in Michigan (license number 4301031237) and his current practice location is 5220 Highland Rd Ste 200, Waterford, Michigan. He can be reached at his office (for appointments etc.) via phone at
(248) 334-3197.
NPI number for Amod S Tootla is 1841340510 and his current mailing address is 5220 Highland Rd Ste 200, Waterford, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841340510.
Physician's Profile
Full Name | Amod S Tootla |
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Gender | Male |
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Speciality | Specialist |
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Location | 5220 Highland Rd Ste 200, Waterford, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841340510
- Provider Enumeration Date: 01/12/2007
- Last Update Date: 01/31/2022
Medical Identifiers
Medical identifiers for Amod S Tootla such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841340510 | NPI | - | NPPES |
2100453 | Medicaid | MI | |
0639891 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | AT031237 (Michigan) | Secondary |
208C00000X | Colon & Rectal Surgery | 4301031237 (Michigan) | Secondary |
174400000X | Specialist | 4301031237 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amod S Tootla is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amod S Tootla, MD 5220 Highland Rd Ste 200, Waterford, MI 48327-1973 Ph: (248) 334-3197 | Amod S Tootla, MD 5220 Highland Rd Ste 200, Waterford, MI 48327-1973 Ph: (248) 334-3197 |
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