Active NPI
Dr. S.Rao Talla
- Pediatrics Physician
- Southfield, MI
National Provider Identifier
1730355405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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 DirectoryLocations
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.
-
- Pediatrics Physician
- Southfield, MI
- NPI 1932126752
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.