| Vijaya Gopal Kotha Md Pc | |
|
22101 Moross Rd Fl 6 Detroit MI 48236-2148 | |
| (313) 343-7560 | |
| Not Available |
| Full Name | Vijaya Gopal Kotha Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 22101 Moross Rd Fl 6, Detroit, Michigan |
| Authorized Official Name and Position | Vijaya Gopal Kotha (OWNER) |
| Authorized Official Contact | 3135957336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vijaya Gopal Kotha Md Pc 591 Lake Shore Rd Grosse Pointe Shores MI 48236-2631 Ph: (313) 595-7336 | Vijaya Gopal Kotha Md Pc 22101 Moross Rd Fl 6 Detroit MI 48236-2148 Ph: (313) 343-7560 |
| NPI Number | 1285126797 |
|---|---|
| Provider Enumeration Date | 05/31/2018 |
| Last Update Date | 05/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285126797 | NPI | - | NPPES |
| 4301058577 | Other | MI | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Bjc Counseling And Behavioral Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 16175 Asbury Park, Detroit, MI 48235 Phone: 313-673-1992 | |
Center For Establishing Recovery Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Riverfront Dr Apt 2610, Detroit, MI 48226 Phone: 313-288-2689 | |
Community Social Services Of Wayne County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9851 Hamilton Ave, Detroit, MI 48202 Phone: 313-883-2339 Fax: 313-883-3957 | |
Emanuel T. Vanbolden, Phd, Lp, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Farnsworth St, Detroit, MI 48202 Phone: 313-577-2840 Fax: 313-577-8949 | |
Mindful Synergy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3011 W Grand Blvd Ste 1507, Detroit, MI 48202 Phone: 313-608-9512 Fax: 313-462-4829 | |
Embody Her Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 Washington Blvd Ste 301, Detroit, MI 48226 Phone: 248-259-2562 | |
Ascension St John Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 586-753-0011 |