| Theethaye L. Ittiara, M.d., P.c. | |
|
142 E Maumee St Adrian MI 49221-2735 | |
| (517) 263-5810 | |
| (517) 263-5810 |
| Full Name | Theethaye L. Ittiara, M.d., P.c. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 142 E Maumee St, Adrian, Michigan |
| Authorized Official Name and Position | Theethaye L Ittiara (OWNER) |
| Authorized Official Contact | 5172635810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theethaye L. Ittiara, M.d., P.c. 142 E Maumee St Adrian MI 49221-2735 Ph: (517) 263-5810 | Theethaye L. Ittiara, M.d., P.c. 142 E Maumee St Adrian MI 49221-2735 Ph: (517) 263-5810 |
| NPI Number | 1124289806 |
|---|---|
| Provider Enumeration Date | 06/24/2008 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124289806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | TI031889 (Michigan) | Primary |
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