DR. VIJAYA GOPAL KOTHA (NPI# 1386657427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386657427 |
Entity Type | Individual |
Full Name | DR. VIJAYA GOPAL KOTHA |
Credential | MD |
Practice Address |
11900 E Twelve Mile Rd Suite 111 Warren MI 48093-3472 |
Practice Telephone | 5865735300 |
Practice Fax Number | 5865735304 |
Mailing Telephone | 5865735300 |
Mailing Fax Number | 5865735304 |
Enumeration Date | 2006-08-13 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
4301058577 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BCBS | 26OE011140 | 01 | |
MI | 4224674 | 05 |
Street Address |
11900 E TWELVE MILE RD SUITE 111 |
City | WARREN |
State | MI |
Zip Code | 48093-3472 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578575106 | Chilakamarri Ramesh | Psychiatry & Neurology | 11900 E Twelve Mile Rd, Suite #111, Warren, MI 48093-3472 | 2006-08-12 |
1306937339 | Bal K Gupta Md PC | Psychiatry & Neurology | 11900 E Twelve Mile Rd, Suite 111, Warren, MI 48093-3472 | 2006-09-27 |
1225041353 | Bal Krishan Gupta | Psychiatry & Neurology | 11900 E Twelve Mile Rd, Suite 111, Warren, MI 48093-3472 | 2006-08-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
Find all providers in zip 48093 |
Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740651967 | John L. Harrington | Psychiatry & Neurology | 4 Second Ave. Apt. #2, Warren, PA 16365 | 2015-10-14 |
1952727323 | Shilin R Pandya | Psychiatry & Neurology | 27 Mountain Blvd Ste 3, Warren, NJ 07059-5605 | 2014-03-10 |
1376688770 | David Schwartz Md PC | Psychiatry & Neurology | 12434 12 Mile Road, Suite 204, Warren, MI 48093 | 2007-02-21 |
1730192832 | Anthony Petrilli | Psychiatry & Neurology | 27550 Schoenherr Rd, Suite 300, Warren, MI 48088-4798 | 2006-08-14 |
1578575106 | Chilakamarri Ramesh | Psychiatry & Neurology | 11900 E Twelve Mile Rd, Suite #111, Warren, MI 48093-3472 | 2006-08-12 |
1932110319 | Shin Jae Lee | Psychiatry & Neurology | 1400 Tod Ave Nw, Warren, OH 44485-2483 | 2006-08-10 |
1740206168 | Lily Ann Marie Tencza | Psychiatry & Neurology | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2006-07-15 |
1780649921 | Eleanor Judith Kulis | Psychiatry & Neurology | 29856 Schoenherr Rd, Ste IIi, Warren, MI 48088 | 2006-04-19 |
1578528725 | Barb Thielman Beebe | Psychiatry & Neurology | 29856 Schoenherr Road, Suite IIi, Warren, MI 48093 | 2006-04-19 |
1144206087 | Brahmaiah Tandra | Psychiatry & Neurology | 8577 E Market St, Warren, OH 44484-2345 | 2005-12-22 |
Find all providers in WARREN |
Please comment or provide details below to improve the information on DR. VIJAYA GOPAL KOTHA.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.