Narsimha Gottam M.D. P C

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

1020303 Issued in MI

Legal business name

NARSIMHA GOTTAM M.D. P C

Practice address

7633 E Jefferson Ave.
Suite #360
Detroit, MI 48214-3732

Phone

(313) 499-4769

Fax

(313) 822-2791

NPI assigned

Oct 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Narsimha Reddy Gottam, M.D.NPI 1841398880

Title

Owner

Phone

(313) 499-4769

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Narsimha Reddy Gottam, M.D.

  • Cardiovascular Disease Physician
  • Detroit, MI
  • NPI 1841398880
  Medicare reassignment Care Compare group NPD Authorized official
• Nithin Gottam, M.D

  • Interventional Cardiology Physician
  • Maywood, IL
  • NPI 1811150881

  Cardiovascular Disease, MI

  Medicare reassignment Care Compare group NPD
• Lingareddy Devireddy, MD

  • Interventional Cardiology Physician
  • Warren, MI
  • NPI 1386680494

  Cardiovascular Disease

  Medicare reassignment NPD
• Emad Alatassi, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Roseville, MI
  • NPI 1528018256
  NPD (past)

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1538348172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 7560",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483027560",
            "telephone_number": "313-499-4769",
            "fax_number": "313-822-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 E JEFFERSON AVE.",
            "address_2": "SUITE #360",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143732",
            "telephone_number": "313-499-4769",
            "fax_number": "313-822-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NARSIMHA GOTTAM M.D. P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "GOTTAM",
        "authorized_official_first_name": "NARSIMHA",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-499-4769",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "1020303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104504749",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nardin Park Recovery Center,Inc.
• Nardly Human Services, Inc.
• Nardly Human Services, Incorporated
• Mondeep Narewal, M.D.
• Suneetha Narreddy, M.D.,
• Ahmed Naseem, MD
• Ather Naseemuddin, M.D.
• Marilyn Tryphena Nash-Yazbeck, R.PH.
• Emily Nash
• Evelyn Marie Nash, M.A.,L.P.C.

• Cardiovascular Disease Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.