Organization Active NPI

Dr. S.Rao Talla

  • Pediatrics Physician
  • Southfield, MI
National Provider Identifier
1730355405
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
DR. S.RAO TALLA
Practice address
17356 W 12 Mile Rd
Suite 100
Southfield, MI 48076-2128
Phone
(248) 552-1220
Fax
(248) 552-8331
NPI assigned
May 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Dr. S.Rao Talla, MD
Title
Doctor
Phone
(248) 552-1220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

17356 W 12 Mile Rd
Suite 100
Southfield, MI 48076-2128

Mailing address

17356 W 12 Mile Rd
Suite 100
Southfield, MI 48076-2128
Phone (248) 552-1220

National Provider Directory

National Provider Directory

Locations

17356 W 12 Mile Rd
Ste 100
Southfield, MI 48076
Phone (248) 552-1220

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1730355405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17356 W 12 MILE RD",
            "address_2": "SUITE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762128",
            "telephone_number": "248-552-1220",
            "fax_number": "248-552-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17356 W 12 MILE RD",
            "address_2": "SUITE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762128",
            "telephone_number": "248-552-1220",
            "fax_number": "248-552-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. S.RAO TALLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "TALLA",
        "authorized_official_first_name": "S.RAO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "248-552-1220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.