RAO S BOTTA (NPI# 1275595381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275595381 |
| Entity Type | Individual |
| Full Name | RAO S BOTTA |
| Credential | MD |
| Practice Address |
5155 Norko Dr Flint MI 48507-3021 |
| Practice Telephone | 8107206700 |
| Practice Fax Number | 8102307764 |
| Mailing Telephone | 8107206700 |
| Mailing Fax Number | 8102307764 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2014-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 4301070273 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4492011 | 05 |
| Street Address |
5155 NORKO DR |
| City | FLINT |
| State | MI |
| Zip Code | 48507-3021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659333763 | Pacita L Tanhehco | Allergy & Immunology | 5155 Norko Dr, Flint, MI 48507-3021 | 2006-04-04 |
| 1366510109 | Aruna Anne | Internal Medicine | 5155 Norko Dr, Flint, MI 48507-3021 | 2006-12-01 |
| 1891718276 | Chandulal B Malde | Internal Medicine | 5155 Norko Dr, Flint, MI 48507-3021 | 2006-07-26 |
| 1801824768 | Suresh Anne Md PC | Allergy & Immunology | 5155 Norko Dr, Flint, MI 48507-3021 | 2006-06-29 |
| 1336101443 | Suresh Anne | Allergy & Immunology | 5155 Norko Dr, Flint, MI 48507-3021 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847870 | Alexis Nichole Leach | Physician Assistant | 5494 South Dort Hwy, Flint, MI 48507 | 2020-09-28 |
| 1508330317 | Jeffrey Mark Funck | Registered Nurse | G-4443 Miller Road, Suite 100, Flint, MI 48507 | 2019-01-15 |
| 1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
| 1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
| 1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
| 1699228460 | Joshua Sinclair | Social Worker | 2442 E Maple Ave Ste 207, Flint, MI 48507 | 2016-07-28 |
| 1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
| 1528412822 | Drita Gojcaj | Massage Therapist | 3426 Miller Road, Flint, MI 48507 | 2016-04-22 |
| 1629422100 | Ellen Makarewicz-ely | Massage Therapist | 3426 Miller Rd, Flint, MI 48507 | 2016-04-20 |
| 1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
| Find all providers in zip 48507 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629003959 | Fikria Elamrousy Hassan | Allergy & Immunology | 1146 S Linden, Flint, MI 48532 | 2006-07-12 |
| 1457306599 | Cory Edward Cookingham Sr. | Allergy & Immunology | 4260 S Linden Rd, Flint, MI 48507 | 2006-05-24 |
| 1770538803 | Joel Anthony Beene | Allergy & Immunology | 4260 S. Linden Rd., Flint, MI 48507 | 2006-05-24 |
| 1659333763 | Pacita L Tanhehco | Allergy & Immunology | 5155 Norko Dr, Flint, MI 48507-3021 | 2006-04-04 |
| 1710118633 | Farrah Faisal Ahmad | Allergy & Immunology | 1 Hurley Plz, Flint, MI 48503-5902 | 2009-07-28 |
| 1427161223 | Allergy & Asthma Center PC | Allergy & Immunology | 1146 S Linden, Flint, MI 48532 | 2006-08-16 |
| 1801824768 | Suresh Anne Md PC | Allergy & Immunology | 5155 Norko Dr, Flint, MI 48507-3021 | 2006-06-29 |
| 1265471908 | Cookingham Beene Allergy & Asthma Associates PC | Allergy & Immunology | 4260 S Linden Rd, Flint, MI 48507 | 2006-06-06 |
| 1336101443 | Suresh Anne | Allergy & Immunology | 5155 Norko Dr, Flint, MI 48507-3021 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144688854 | Hussein Azzam | Allergy & Immunology | 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 | 2016-02-09 |
| 1417360660 | Allergy & Asthma Physicians of Troy, P.C. | Allergy & Immunology | 4600 Investment Drive, Suite # 110, Suite # 110, Troy, MI 48098-6366 | 2014-06-05 |
| 1861834095 | Herald Allen Habenicht | Allergy & Immunology | 10516 Range Line Rd, Berrien Springs, MI 49103-9203 | 2013-07-30 |
| 1386991461 | Lee D. Baylis, M.d. Pllc | Allergy & Immunology | 5825 S Main St Ste 203, Clarkston, MI 48346-2983 | 2012-08-08 |
| 1134485139 | James Austin Womack | Allergy & Immunology | 2310 W Mcnichols Rd, Detroit, MI 48221 | 2012-04-04 |
| 1023380797 | Leonard Samuel Gell | Allergy & Immunology | 7650 Conservation St Ne, Ada, MI 49301-9522 | 2012-01-27 |
| 1295065126 | Richard Kurt Vonmaur | Allergy & Immunology | 10653 Sudan St, Portage, MI 49002-7373 | 2009-12-24 |
| 1700038684 | James C Breneman | Allergy & Immunology | 10571 Miller Dr, Galesburg, MI 49053-8607 | 2008-10-22 |
| 1245493527 | Rachel Karman Kado | Allergy & Immunology | 20228 Farmington Rd, Livonia, MI 48152-1412 | 2008-07-07 |
| 1992979223 | Rasem David Ghannam | Allergy & Immunology | 15386 Mcleans, Spring Lake, MI 49456-2129 | 2008-04-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.