Amod S Tootla in Waterford - Specialist

Amod S Tootla - NPI 1841340510

Amod S Tootla is a Specialist in Waterford, Michigan. Amod S Tootla practices all healthcare services and medical treatments related to Specialist. The NPI Number for Amod S Tootla is 1841340510. The last update date is 2022-01-31.

Amod S Tootla's current location address is 5220 Highland Rd Ste 200, Waterford, Michigan. You can contact this provider via phone number 2483343197 and fax number 2483358857. The mailing address for Amod S Tootla is 5220 Highland Rd Ste 200, Waterford, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Amod S Tootla
Address 5220 Highland Rd Ste 200, Waterford, Michigan
Phone Number 2483343197
Fax Number 2483358857
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1841340510
Provider Enumeration Date 2007-01-12
Last Updated Date 2022-01-31

Provider Mailing Address Detail

Address 5220 Highland Rd Ste 200
City Waterford
State Michigan (MI)
Post Code 483271973
Phone Number 2483343197
Fax Number 2483358857

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 4301031237
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2100453 MI --
639891 MI --

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FAQs about Amod S Tootla

What is the unique identifier code issued to Amod S Tootla by the Centers for Medicare & Medicaid Services (CMS)?

The Amod S Tootla has been assigned the NPI (National Provider Identifier) 1841340510. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Amod S Tootla is geographically located?

The Amod S Tootla is physically situated at the following location: 5220 Highland Rd Ste 200, Waterford, MI, 483271973.

What is Amod S Tootla's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Amod S Tootla is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.

When was the Amod S Tootla's 1841340510 issued?

The Amod S Tootla's 1841340510 was issued on 2007-01-12.

As of what date were the details related to Amod S Tootla most recently updated or revised?

The information pertaining to Amod S Tootla, including its address, specialty, and other relevant details, was last updated or revised on 2022-01-31.

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