DR. VEERA PAVAN KUMAR KOTARU (NPI# 1710154927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710154927 |
| Entity Type | Individual |
| Full Name | DR. VEERA PAVAN KUMAR KOTARU |
| Credential | MD |
| Practice Address |
1200 E Michigan Ave 725 Lansing MI 48912-1800 |
| Practice Telephone | 5173645599 |
| Practice Fax Number | 5173645590 |
| Mailing Telephone | 5173645599 |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2017-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301085630 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
4301063158 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1710154927 | 05 |
| Street Address |
1200 E MICHIGAN AVE 725 |
| City | LANSING |
| State | MI |
| Zip Code | 48912-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942202494 | Shirley R Courey | Nurse Practitioner | 1200 E Michigan Ave, Suite 500, Lansing, MI 48912-1800 | 2005-08-15 |
| 1205444866 | Anthony Griffin | Nurse Practitioner | 1200 E Michigan Ave, Lansing, MI 48912-1800 | 2020-07-20 |
| 1255967725 | Rachel Gibney | Registered Nurse | 1200 E Michigan Ave, Lansing, MI 48912-1800 | 2020-03-17 |
| 1104398684 | Emma Skye Sanger | Speech-Language Pathologist | 1200 E Michigan Ave, Lansing, MI 48912-1800 | 2018-12-21 |
| 1548732175 | Madalina Ioana Hill | Physical Therapist | 1200 E Michigan Ave, Lansing, MI 48912-1800 | 2018-12-20 |
| 1376010462 | Taryn Noelle Edsall | Physical Therapist | 1200 E Michigan Ave, Lansing, MI 48912-1800 | 2018-10-27 |
| 1962996470 | Danielle Mugerian | Student in an Organized Health Care Education/Training Program | 1200 E Michigan Ave, Lansing, MI 48912-1800 | 2018-06-18 |
| 1669960605 | Stephen Sudekum | Student in an Organized Health Care Education/Training Program | 1200 E Michigan Ave, Lansing, MI 48912-1800 | 2018-04-25 |
| 1275039547 | Angela Chapman | Occupational Therapist | 1200 E Michigan Ave, Lansing, MI 48912-1800 | 2018-04-04 |
| 1689176984 | Laura Barrons | Physical Therapist | 1200 E Michigan Ave, Lansing, MI 48912-1800 | 2018-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316563646 | Shelley Gabel | Surgery | 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912 | 2020-06-23 |
| 1568087237 | Ahmed Mohamed Haggag | Student in an Organized Health Care Education/Training Program | 1215 East Michigan Avenue 3rd Floor, Lansing, MI 48912 | 2020-06-09 |
| 1467074773 | Craig Hargurkirat Malli | Family Medicine | 1215 E Michigan Avenue Suite 245, Lansing, MI 48912 | 2020-05-08 |
| 1215558945 | Temmy J. Brotherson | Family Medicine | Sparrow Health Systems, 1200 E Michigan Avenues, Suite 245, Lansing, MI 48912 | 2020-05-05 |
| 1386265452 | Kyle Patrick Doran | Emergency Medicine | Sparrow Health System, 1215 E Michigan Avenue, Lansing, MI 48912 | 2020-04-30 |
| 1316418841 | Andrea Mcswain Do PC | Obstetrics & Gynecology | 1909 E. Michigan Ave, Lansing, MI 48912 | 2018-12-10 |
| 1215386115 | Michael Vernon Hollis | Student in an Organized Health Care Education/Training Program | 1500 E Michigan Ave, Suite 655, Lansing, MI 48912 | 2016-06-10 |
| 1518333970 | Eastside Community Action Center | Social Worker | 1001 Dakin Street, Suite B, Lansing, MI 48912 | 2015-08-19 |
| 1649667403 | Cheryl Ann Wade | Counselor | 1712 E Michigan Ave., Lansing, MI 48912 | 2015-04-20 |
| 1083006134 | Carol Pratt | Occupational Therapist | 1200 E. Michigan Ave, Outpatient Rehab - Lower Level, Lansing, MI 48912 | 2015-02-26 |
| Find all providers in zip 48912 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679623334 | Cardiology Consultants PC | Internal Medicine | 5848 Executive Dr, Lansing, MI 48911 | 2007-01-12 |
| 1821197435 | Ramanathan Nagappan | Internal Medicine | 1200 E Michigan Ave Ste 725, Lansing, MI 48912-1832 | 2006-09-21 |
| 1033171673 | Paul Goldshlack | Internal Medicine | 1433 E Michigan Ave, Lansing, MI 48912-2111 | 2006-04-06 |
| 1851365407 | Jwala Prasad | Internal Medicine | 5848 Executive Drive, Lansing, MI 48911 | 2006-02-13 |
| 1255339263 | Nam S Cho | Internal Medicine | 1140 E Michigan Ave Ste 400, Lansing, MI 48912-1806 | 2005-07-13 |
| 1255339115 | Edward T Helble | Internal Medicine | 3960 Patient Care Dr Ste 109, Lansing, MI 48911-4276 | 2005-07-13 |
| 1245737402 | Edward W Sparrow Hospital Association | Internal Medicine | 1140 E Michigan Ave Ste 400, Lansing, MI 48912 | 2018-04-12 |
| 1396165676 | David W Mccomb | Internal Medicine | 401 W Greenlawn Ave, Lansing, MI 48910-2819 | 2014-04-24 |
| 1801109954 | Sonali Arora | Internal Medicine | 1140 E Michigan Ave Ste 400, Lansing, MI 48912-1806 | 2010-07-19 |
| 1013148048 | Ali H. Sheikh | Internal Medicine | 1140 E Michigan Ave Ste 400, Lansing, MI 48912-1806 | 2009-08-07 |
| Find all providers in LANSING | ||||
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| 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.