Detroit Medical Center

Primary specialty

Special HospitalTaxonomy code 284300000X

License

4301094041 Issued in MI

Legal business name

DETROIT MEDICAL CENTER

Practice address

39180 Citation PL
Apt # 35104
Farmington Hills, MI 48331-4901

Phone

(713) 657-5012

NPI assigned

Aug 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kireeti Potu, M.D

Title

Fellow

Phone

(713) 657-5012

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1249171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249171200000",
    "number": "1326279803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39180 CITATION PL",
            "address_2": "APT # 35104",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483314901",
            "telephone_number": "713-657-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39180 CITATION PL",
            "address_2": "APT # 35104",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483314901",
            "telephone_number": "713-657-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-02",
        "last_updated": "2009-08-02",
        "status": "A",
        "authorized_official_last_name": "POTU",
        "authorized_official_first_name": "KIREETI",
        "authorized_official_title_or_position": "FELLOW",
        "authorized_official_telephone_number": "713-657-5012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "MI",
            "license": "4301094041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skyler Detrana
• Samara Detrick
• Detroit Baptist Manor
• Detroit Bio Medical Labs Inc
• Detroit Infant Health
• Detroit Speech Therapy
• Shannon Dettor
• Sarah A Dettore
• Heather Deuel
• Amie Deusa

• Special Hospital in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Special Hospital in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2009; 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.