Theethaye L. Ittiara, M.D., P.C. in Adrian - Community/behavioral Health
Theethaye L. Ittiara, M.D., P.C. - NPI 1124289806
Theethaye L. Ittiara, M.D., P.C. is a Community/behavioral Health in Adrian, Michigan. Theethaye L. Ittiara, M.D., P.C. practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Theethaye L. Ittiara, M.D., P.C. is 1124289806. The last update date is 2008-06-24.
Theethaye L. Ittiara, M.D., P.C.'s current location address is 142 E Maumee St, Adrian, Michigan. You can contact this provider via phone number 5172635810 and fax number 5172635810. The mailing address for Theethaye L. Ittiara, M.D., P.C. is 142 E Maumee St, Adrian, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Theethaye L. Ittiara, M.D., P.C. |
|---|---|
| Address | 142 E Maumee St, Adrian, Michigan |
| Phone Number | 5172635810 |
| Fax Number | 5172635810 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ittiara L Theethaye |
| Credentials | M.D. |
| Telephone Number | 5172635810 |
NPI Number Detail
| NPI Number | 1124289806 |
|---|---|
| Provider Enumeration Date | 2008-06-24 |
| Last Updated Date | 2008-06-24 |
Provider Mailing Address Detail
| Address | 142 E Maumee St |
|---|---|
| City | Adrian |
| State | Michigan (MI) |
| Post Code | 492212735 |
| Phone Number | 5172635810 |
| Fax Number | 5172635810 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | TI031889 |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Theethaye L. Ittiara, M.D., P.C. by the Centers for Medicare & Medicaid Services?
The Theethaye L. Ittiara, M.D., P.C. has been assigned the NPI (National Provider Identifier) 1124289806 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Theethaye L. Ittiara, M.D., P.C.?
The Theethaye L. Ittiara, M.D., P.C. is physically situated at 142 E Maumee St, in the city of Adrian, state of MI, with the postal code 492212735.
What is the Theethaye L. Ittiara, M.D., P.C.'s specialty and taxonomy code?
The Theethaye L. Ittiara, M.D., P.C.'s specialty is Community/behavioral Health, and the corresponding taxonomy code is 251S00000X.
On what date did the Theethaye L. Ittiara, M.D., P.C. receive the assignment of its 1124289806 from the Centers for Medicare & Medicaid Services?
The Theethaye L. Ittiara, M.D., P.C. was issued its 1124289806 by the Centers for Medicare & Medicaid Services on 2008-06-24.
When was the information regarding Theethaye L. Ittiara, M.D., P.C. most recently updated?
The details pertaining to the Theethaye L. Ittiara, M.D., P.C., including its address, specialty, and other relevant information, were last refreshed on 2008-06-24.