DR. SARVESWARARAO TALLA (NPI# 1932126752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932126752 |
| Entity Type | Individual |
| Full Name | DR. SARVESWARARAO TALLA |
| Credential | MD |
| Practice Address |
17356 W 12 Mile Rd Suite 100 Southfield MI 48076-2128 |
| Practice Telephone | 2485521220 |
| Practice Fax Number | 2485528331 |
| Mailing Telephone | 2485521220 |
| Mailing Fax Number | 2485528331 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ST039318 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
17356 W 12 MILE RD SUITE 100 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48076-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750843025 | Dieatra Renee Jones | Counselor | 17356 W 12 Mile Rd, Southfield, MI 48076-2128 | 2019-04-04 |
| 1073004537 | Meditrip Transportation Services,inc. | Non-emergency Medical Transport (VAN) | 17356 W 12 Mile Rd, Suite 202, Southfield, MI 48085 | 2018-05-21 |
| 1932612546 | Meditrip Transportation Services Inc | Non-emergency Medical Transport (VAN) | 17356 W 12 Mile Rd, Suite 202, Southfield, MI 48076 | 2017-11-06 |
| 1366840100 | Agbanyim Services Incorporated | In Home Supportive Care | 17356 W 12 Mile Rd, Suite 204, Southfield, MI 48076-2128 | 2014-12-10 |
| 1730355405 | Dr. S.rao Talla | Pediatrics | 17356 W 12 Mile Rd, Suite 100, Southfield, MI 48076-2128 | 2008-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813753 | Elaine Sarah Kahn | Social Worker | 15999 West Twelve Mile Rd, Southfield, MI 48076 | 2020-08-31 |
| 1295353829 | Marian Hannah Ibrahim | Dentist | 19189 W 12 Mile Rd, Lathrup Village, MI 48076 | 2020-07-09 |
| 1699317669 | Meadow Lane Rehabilitative Therapies LLC | Social Worker | 29895 Greenfield Rd., Suite 104b, Southfield, MI 48076 | 2019-10-11 |
| 1760035752 | Taliah Laneice Williams-hunter | Counselor | 30119 Sparkleberry Dr., Southfield, MI 48076 | 2019-07-19 |
| 1386114742 | Mavis Gail Pookrum | Technician | 21732 Colony Park Circle #105, Southfield, MI 48076 | 2018-11-28 |
| 1861962417 | Millennial Infusion Centers Inc | Clinic/Center | 26250 Northwestern Hwy Ste 201, Southfield, MI 48076 | 2018-11-27 |
| 1215429212 | Debra Deanes | Counselor | 30233 Southfiels Rd, 203, Southfield, MI 48076 | 2018-06-05 |
| 1437675758 | Kenneth Gerard Giles | Counselor | 29532 Southfield Rd. Suite 208, Southfield, MI 48076 | 2017-08-17 |
| 1902346836 | Linsk Psychiatry Services P C | Clinic/Center | 21751 W 12 Mile Rd, Suite 205, Southfield, MI 48076 | 2017-02-25 |
| 1023552361 | Massage Serenity | Community/Behavioral Health | 20245 W. 12 Mile Rd, Suite 113, Southfield, MI 48076 | 2016-12-06 |
| Find all providers in zip 48076 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
| 1184993404 | Hasan Hasaba Md Pllc | Pediatrics | 22255 Greenfield Rd Ste 320, Southfield, MI 48075-3729 | 2011-12-14 |
| 1235148222 | Eliyahou Kam | Pediatrics | 22255 Greenfield Ste 128, Providence Pavilion, Southfield, MI 48075 | 2006-08-07 |
| 1477537157 | Amy E Youn | Pediatrics | 30503 Greenfield Rd, Southfield, MI 48076-1594 | 2005-12-06 |
| 1568460152 | Marie-jeanne D Monde-matthews | Pediatrics | 29255 Northwestern Hwy, Suite 100, Southfield, MI 48034-1018 | 2005-07-08 |
| 1245859446 | Vpa PC | Pediatrics | 21540 W 11 Mile Rd Ste 200, Southfield, MI 48076-3843 | 2020-04-09 |
| 1669091864 | Vpa PC | Pediatrics | 21540 W 11 Mile Rd Ste 200, Southfield, MI 48076-3843 | 2020-04-09 |
| 1902325384 | Peace & Harmony Services LLC | Pediatrics | 17330 Northland Park Ct, Southfield, MI 48075-4318 | 2017-09-16 |
| 1326422908 | Marisa Elias | Pediatrics | 22777 W 11 Mile Rd, Southfield, MI 48033 | 2015-07-14 |
| 1962779124 | Clara Teresa Vanscyoc | Pediatrics | 22301 Foster Winter Dr, 2nd Floor, Southfield, MI 48075-3707 | 2011-11-16 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48076 |
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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.