Organization Active NPI

Satyamurthy Kotamraju MD PC

  • Clinical Neurophysiology Physician
  • Detroit, MI
National Provider Identifier
1609238674
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
4301042052 Issued in MI
Legal business name
SATYAMURTHY KOTAMRAJU MD PC
Practice address
11457 Shoemaker St
Detroit, MI 48213-3418
Phone
(248) 202-5589
NPI assigned
Mar 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Authorized official

Name
Satyamurthy Kotamraju, M.D.
Title
President
Phone
(248) 202-5589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0600X 4301042052 MI Primary

Addresses

Primary practice location

11457 Shoemaker St
Detroit, MI 48213-3418

Mailing address

11457 Shoemaker St
Detroit, MI 48213-3418
Phone (248) 202-5589

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1609238674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11457 SHOEMAKER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482133418",
            "telephone_number": "248-202-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11457 SHOEMAKER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482133418",
            "telephone_number": "248-202-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATYAMURTHY KOTAMRAJU MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "KOTAMRAJU",
        "authorized_official_first_name": "SATYAMURTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-202-5589",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "MI",
            "license": "4301042052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.