Independence Medical PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INDEPENDENCE MEDICAL PLLC

Practice address

6255 Inkster Rd Ste 101
Garden City, MI 48135-2538

Phone

(248) 962-8471

Fax

(248) 658-8777

NPI assigned

Jan 5, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ron Kattoo, MD

Title

Sole Owner

Phone

(248) 962-8471

Specialties & licenses 1

Addresses

Other names 1

• Independence Medical PLLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578182400000",
    "number": "1124667316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 PARKWOOD CT",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013967",
            "telephone_number": "248-962-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 INKSTER RD STE 101",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352538",
            "telephone_number": "248-962-8471",
            "fax_number": "248-658-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-05",
        "last_updated": "2020-01-05",
        "certification_date": "2020-01-05",
        "status": "A",
        "authorized_official_last_name": "KATTOO",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "248-962-8471",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Independence Medical PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mischelle Elaine Holt
• Rebecca Marie Huizar, DPT, PT
• Maria Iacoban
• Ihp Mi Emergency Medicine PLLC
• Izabella Ilyasov, M.D.
• Inspire Home Health Care LLC
• Instalab DX Inc
• Instalab DX Inc
• Kholoud Ismail, NP-BC
• Brooke Israel

• Internal Medicine Physician in Garden City, MI
• Providers in Garden City, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.