Sahithi Gogineni
Individual provider Active NPI Psychiatry Physician · Detroit, MI
NPI 1972166304 · NPPES record last updated May 20, 2025
Key facts
- NPI
- 1972166304
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 4301509955 (MI)
- Practice address
- 4646 John R St
Detroit, MI 48201-1916 - Phone
- (313) 576-1000
- NPI assigned
- Apr 22, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301509955 | MI | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | 4301509955 | MI | Yes |
Addresses
Primary practice location
4646 John R St
Detroit, MI 48201-1916
Mailing address
3990 John R St
Detroit, MI 48201-2018
Other providers in Detroit, MI
- Kyra Ann Goeller
- Galt Goettl
- Yaukpala Ina Gofan
- Gurmeet Kaur Gogia
- Satroop Gogia
- Gogo Meds
- Gogo Ride Inc
- Radhika Gogoi
- Ronald S Goheen
- Alyxandra Marie Gohlke
All providers in Detroit, MI · Psychiatry Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.