Southgate Ear Nose & Throat Center PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301039321 Issued in MI

Legal business name

SOUTHGATE EAR NOSE & THROAT CENTER PLLC

Practice address

14500 Northline Rd
Southgate, MI 48195-2402

Phone

(734) 281-4197

Fax

(734) 282-0093

NPI assigned

May 14, 2008

Organization subpart

No

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

Authorized official

Name

Vasudev R Garlapaty, MD

Title

Owner

Phone

(734) 281-4197

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1881861292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14500 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952402",
            "telephone_number": "734-281-4197",
            "fax_number": "734-282-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14500 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952402",
            "telephone_number": "734-281-4197",
            "fax_number": "734-282-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHGATE EAR NOSE & THROAT CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "GARLAPATY",
        "authorized_official_first_name": "VASUDEV",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-281-4197",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301039321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela South
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• Southgate Family Dental
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• Southgate Medical Clinic PC

• Specialist in Southgate, MI
• Providers in Southgate, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.