DATLA RAJU (NPI# 1336183698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336183698 |
Entity Type | Individual |
Full Name | DATLA RAJU |
Credential | MD |
Practice Address |
2811 E Court St Flint MI 48506-4054 |
Mailing Address |
6442 Charles Dr West Bloomfield MI 48322-4402 |
Practice Telephone | 8102326081 |
Practice Fax Number | 8102326510 |
Mailing Telephone | 2487375183 |
Enumeration Date | 2006-06-16 |
Last Update Date | 2013-03-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
4301041432 | MI | Allopathic & Osteopathic Physicians |
Street Address |
2811 E COURT ST |
City | FLINT |
State | MI |
Zip Code | 48506-4054 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699260364 | Roseanne Majed Rayyan | Dentist | 2811 E Court St, Flint, MI 48506-4054 | 2018-06-26 |
1083028302 | Daniel Koenig | Dentist | 2811 E Court St, Flint, MI 48506-4054 | 2014-06-14 |
1992130744 | David Owen Ludkin | Dentist | 2811 E Court St, Suite I, Flint, MI 48506-4054 | 2013-09-12 |
1518306687 | William Devere Johnson | Dentist | 2811 E Court St, Suite I, Flint, MI 48506-4054 | 2013-06-21 |
1811335862 | Danika Choi | Social Worker | 2811 E Court St, Flint, MI 48506-4054 | 2013-06-12 |
1427496470 | April Hitchcock-fofana | Social Worker | 2811 E Court St, Flint, MI 48506-4054 | 2013-06-12 |
1659716926 | Brenda Marie Kleinknecht | Community/Behavioral Health | 2811 E Court St, Flint, MI 48506-4054 | 2013-05-01 |
1003251331 | Melvin Kenneth Lester | Community/Behavioral Health | 2811 E Court St, Flint, MI 48506-4054 | 2013-04-30 |
1114361086 | Karla Renee Davis | Social Worker | 2811 E Court St, Flint, MI 48506-4054 | 2013-04-23 |
1760826630 | David Norman Adamisin | Social Worker | 2811 E Court St, Flint, MI 48506-4054 | 2013-04-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629453725 | Sydney Wilson | Case Manager/Care Coordinator | 1526 Utah Ave, Flint, MI 48506 | 2015-07-30 |
1790199313 | Laurel Anne Paradise-bumhoffer | Nurse Practitioner | 3807 North Center Road, Flint, MI 48506 | 2014-06-12 |
1285982520 | Andrea Ann Rossi | Nurse Practitioner | 4302 Underhill Drive, Flint, MI 48506 | 2012-08-16 |
1134433329 | Shelia Evette Tucker | Social Worker | 3807 North Center Rd, Flint, MI 48506 | 2010-07-30 |
1851629125 | Amber Mayhew Homecare | Occupational Therapist | 5503 Mcnamara Lane, Flint, MI 48506 | 2009-11-25 |
1285872093 | Sherrie A Medling | Registered Nurse | 2811 E Court, Flint, MI 48506 | 2009-02-02 |
1013121631 | Jeffrey Wade Anderson | Occupational Therapist | 3011 North Center Road, Briarwood Manor, Flint, MI 48506 | 2007-05-10 |
1396803508 | Kalman J Knizner | Dentist | 5529 Richfield Rd, Flint, MI 48506 | 2006-12-04 |
1427151679 | Gertrude Burton Rutherford | Social Worker | 4302 Underhill Dr, Flint, MI 48506 | 2006-09-06 |
1164532966 | Bethany Lynn Pummill | Nurse Practitioner | 3011 North Center Rd, Flint, MI 48506 | 2006-08-30 |
Find all providers in zip 48506 |
Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841840220 | Brainstim LLC | Psychiatry & Neurology | 4413 Corunna Rd Uppr Level, Flint, MI 48532-4359 | 2019-09-17 |
1861666166 | Jae C Kim, Md, PC | Psychiatry & Neurology | 5031 Villa Linde Pkw, Flint, MI 48532-3446 | 2008-04-17 |
1992902613 | K.v. Mathew, M.d., P.C. | Psychiatry & Neurology | 4448 Oakbridge Dr Ste A, Flint, MI 48532-5484 | 2007-06-27 |
1427145812 | Marvin Faust | Psychiatry & Neurology | 1420 W 3rd Ave, Flint, MI 48504-4827 | 2006-10-06 |
1043244411 | Nikhil K Vora | Psychiatry & Neurology | 4413 Corunna Rd, Flint, MI 48532 | 2006-07-10 |
1457387201 | Hurley Medical Center | Psychiatry & Neurology | 1085 S Linden Rd Ste 150, Flint, MI 48532 | 2006-06-23 |
1376522342 | Marion Dunn | Psychiatry & Neurology | 653 S Saginaw St Ste 316, Flint, MI 48502-1523 | 2006-01-10 |
1184612590 | James Thomas Aills | Psychiatry & Neurology | 4448 Oakbridge Dr, Suite A, Flint, MI 48532-5494 | 2005-10-10 |
1295734762 | Jae Chul Kim | Psychiatry & Neurology | 5031 Villa Linde Pkwy, Ste 20, Flint, MI 48532-3448 | 2005-07-18 |
1104823749 | James Tae Suk Rhyee | Psychiatry & Neurology | 5039 Villa Linde Pkwy, Ste 30, Flint, MI 48532-3450 | 2005-06-28 |
Find all providers in FLINT |
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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.