Veda Vyas Gokula, MD, MBA
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Detroit, MI
NPI 1053166165 · NPPES record last updated Apr 22, 2024
Key facts
- NPI
- 1053166165
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 4160 John R St Ste 615
Detroit, MI 48201-2022 - Phone
- (313) 745-4195
- Fax
- (313) 993-8669
- NPI assigned
- Apr 22, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Business Administration, Doctor of Medicine
Interoperability endpoints
- vgokula3458740@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
4160 John R St Ste 615
Detroit, MI 48201-2022
Mailing address
4160 John R St Ste 615
Detroit, MI 48201-2022
Phone (313) 745-4195
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All providers in Detroit, MI · Student in an Organized Health Care Education/Training Program in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.