Prathusha Tatineny, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301106965 Issued in MI

Practice address

461 W Huron St Ste 107
Pontiac, MI 48341-1601

Phone

(248) 857-6700

NPI assigned

Jun 24, 2015

Last updated

Jun 24, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sleep Disorders Institute Midwest LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Overland Park, KS
  • NPI 1568464170
  NPD (past)

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1528440609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 W HURON ST STE 107",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411601",
            "telephone_number": "248-857-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 W HURON ST STE 107",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411601",
            "telephone_number": "248-857-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATINENY",
        "first_name": "PRATHUSHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301106965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander David Tapper, M.D.
• Frank Tarn
• Syed Haris Tasleem, M.D.
• Candace Tate, RDH
• Robin Tate
• Tima Fauz Tawil, MBBS
• Moonib Tayeb
• Donyae J Taylor
• Juwan Malik Taylor, MD
• Roswell Tenacity Catherine Taylor

• Family Medicine Physician in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.