Vijay K Kotha (NPI# 1700854395, PAC ID# 4385615707) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1700854395 |
| PAC ID by PECOS | 4385615707 |
| Professional Enrollment ID | I20070501000637 |
| Full Name | Vijay K Kotha |
| Organization Legal Name | MICHIGAN HEALTHCARE PROFESSIONALS PC |
| Address |
31157 Woodward Ave Royal Oak MI 48073-0996 |
| Phone Number | 2483360123 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
| Graduation Year | 1999 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 0345413258 |
| Number of Group Practice Members | 383 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230142 | BEAUMONT HOSPITAL - WAYNE |
| 230020 | BEAUMONT HOSPITAL - DEARBORN |
| 230270 | BEAUMONT HOSPITAL - TAYLOR |
| Address | Phone | Organization |
|---|---|---|
| 27900 Grand River Ave, Farmington Hills, MI 48336-5965 | MICHIGAN HEALTHCARE PROFESSIONALS PC | |
| 31157 Woodward Ave, Royal Oak, MI 48073-0996 | 2483360123 | MICHIGAN HEALTHCARE PROFESSIONALS PC |
| 33545 Cherry Hill Rd, Westland, MI 48186-4842 | 7345951166 | MICHIGAN HEALTHCARE PROFESSIONALS PC |
| Organization Legal Name | MICHIGAN HEALTHCARE PROFESSIONALS PC |
| Physicians | 424 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea D Zinke | Nurse Practitioner | Michigan Healthcare Professionals PC | 24901 Kelly Rd, Eastpointe, MI 48021-1367 |
| Jewels Marie Sheena | Physician Assistant | Michigan Healthcare Professionals PC | 1223 S Washington Ave, Royal Oak, MI 48067-3221 |
| Katherine L Novak | Physician Assistant | Michigan Healthcare Professionals PC | 28477 Hoover Rd, Warren, MI 48093-5400 |
| Michael Levin | Urology | Michigan Healthcare Professionals PC | 17405 Hall Rd, Suite B, Macomb, MI 48044-4061 |
| Michael J Feldman | Internal Medicine | Michigan Healthcare Professionals PC | 5821 W Maple Rd, Suite 190, West Bloomfield, MI 48322-2275 |
| Brian D Wood | Family Medicine | Michigan Healthcare Professionals PC | 36040 Dequindre Rd, Sterling Heights, MI 48310-4239 |
| Denisa Morea | Physician Assistant | Michigan Healthcare Professionals PC | 12701 Telegraph Rd, Suite 103, Taylor, MI 48180-4087 |
| Jodie M Colman | Nurse Practitioner | Michigan Healthcare Professionals PC | 6149 Wayne Rd, Westland, MI 48185-7128 |
| Rachel L Hetzner | Nurse Practitioner | Michigan Healthcare Professionals PC | 28180 John R Rd, Madison Heights, MI 48071-2850 |
| Erica N Balysh | Family Medicine | Michigan Healthcare Professionals PC | 10300 W 9 Mile Rd, Oak Park, MI 48237-2993 |
| Street Address |
31157 WOODWARD AVE |
| City | ROYAL OAK |
| State | MI |
| Zip | 48073-0996 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David J Kearney | Urology | Michigan Healthcare Professionals PC | 31157 Woodward Ave, Royal Oak, MI 48073-0996 |
| Nicole Stanczak | Nurse Practitioner | Michigan Healthcare Professionals PC | 31157 Woodward Ave, Royal Oak, MI 48073-0996 |
| Ronald Allen Rubenstein | Urology | Michigan Healthcare Professionals PC | 31157 Woodward Ave, Royal Oak, MI 48073-0996 |
| Bradley Howard Rosenberg | Urology | Michigan Healthcare Professionals PC | 31157 Woodward Ave, Royal Oak, MI 48073-0996 |
| Rajan Dewar | Pathology | Michigan Healthcare Professionals PC | 31157 Woodward Ave, Royal Oak, MI 48073-0996 |
| Kenneth M Peters | Urology | Michigan Healthcare Professionals PC | 31157 Woodward Ave, Royal Oak, MI 48073-0996 |
| Howard Jay Korman | Urology | Michigan Healthcare Professionals PC | 31157 Woodward Ave, Royal Oak, MI 48073-0996 |
| Michael F Macdonald | Urology | Michigan Healthcare Professionals PC | 31157 Woodward Ave, Royal Oak, MI 48073-0996 |
| Frank Nelson Burks | Urology | Michigan Healthcare Professionals PC | 31157 Woodward Ave, Royal Oak, MI 48073-0996 |
| Valerie Jones | Nurse Practitioner | Michigan Healthcare Professionals PC | 31157 Woodward Ave, Royal Oak, MI 48073-0996 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick Robert Pierce | Physical Therapy | Farmington Physical Therapy Inc | 29480 Woodward Ave, Royal Oak, MI 48073-0903 |
| Michael Leither | Physical Therapy | Farmington Physical Therapy Inc | 29480 Woodward Ave, Royal Oak, MI 48073-0903 |
| Leython Williams | Physical Therapy | Farmington Physical Therapy Inc | 29480 Woodward Ave, Royal Oak, MI 48073-0903 |
| Amanda Marleen Pfost | Physical Therapy | Farmington Physical Therapy Inc | 29480 Woodward Ave, Royal Oak, MI 48073-0903 |
| Donald Frederick Moylan | Urology | Comprehensive Medical Center, Pllc | 31157 Woodward Ave, Royal Oak, MI 48073-0926 |
| Michal W Wiercigroch | Physical Therapy | Michigan Rehabilitation Specialists of Fowlerville LLC | 31372 Woodward Ave, Ati Physical Therapy, Royal Oak, MI 48073-0929 |
| Stephanie H Walton | Physical Therapy | Michigan Rehabilitation Specialists of Fowlerville LLC | 31372 Woodward Ave, Ati Physical Therapy, Royal Oak, MI 48073-0929 |
| Allison Tyler | Physical Therapy | Michigan Rehabilitation Specialists of Fowlerville LLC | 31372 Woodward Ave, Ati Physical Therapy, Royal Oak, MI 48073-0929 |
| Caitlin Bennett | Physical Therapy | Michigan Rehabilitation Specialists of Fowlerville LLC | 31372 Woodward Ave, Ati Physical Therapy, Royal Oak, MI 48073-0929 |
| Chelsea Hazel Bartholomew | Physical Therapy | Michigan Rehabilitation Specialists of Fowlerville LLC | 31372 Woodward Ave, Ati Physical Therapy, Royal Oak, MI 48073-0929 |
| Find all physicians in zip 48073 | |||
| City | ROYAL OAK |
| Zip Code | 48073 |
| Specialty | UROLOGY |
| City + Specialty | ROYAL OAK + UROLOGY |
Please comment or provide details below to improve the information on Vijay K Kotha.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.