Comprehensive Treatment Center P.C. in Pontiac - Primary Care
Comprehensive Treatment Center P.C. - NPI 1407015795
Comprehensive Treatment Center P.C. is a Primary Care in Pontiac, Michigan. Comprehensive Treatment Center P.C. practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Comprehensive Treatment Center P.C. is 1407015795. The last update date is 2008-11-13.
Comprehensive Treatment Center P.C.'s current location address is 35 S Johnson St, Pontiac, Michigan. You can contact this provider via phone number 2483339556 and fax number 2483339556. The mailing address for Comprehensive Treatment Center P.C. is 35 S Johnson St, Pontiac, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Comprehensive Treatment Center P.C. |
|---|---|
| Address | 35 S Johnson St, Pontiac, Michigan |
| Phone Number | 2483339556 |
| Fax Number | 2483339556 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Jagadish Puttanniah Kothegala |
| Credentials | M.D. |
| Telephone Number | 2483339556 |
NPI Number Detail
| NPI Number | 1407015795 |
|---|---|
| Provider Enumeration Date | 2008-06-03 |
| Last Updated Date | 2008-11-13 |
Provider Mailing Address Detail
| Address | 35 S Johnson St |
|---|---|
| City | Pontiac |
| State | Michigan (MI) |
| Post Code | 483411658 |
| Phone Number | 2483339556 |
| Fax Number | 2483339556 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | 4301043330 |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0P61080 | MI | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique identifier code issued to Comprehensive Treatment Center P.C. by the Centers for Medicare & Medicaid Services (CMS)?
The Comprehensive Treatment Center P.C. has been assigned the NPI (National Provider Identifier) 1407015795. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Comprehensive Treatment Center P.C.'s physical address?
The Comprehensive Treatment Center P.C. is physically located at 35 S Johnson St, in the city of Pontiac, MI, with the postal code 483411658.
What is Comprehensive Treatment Center P.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Comprehensive Treatment Center P.C.'s area of specialization is Primary Care, and the corresponding taxonomy code that categorizes this field of practice is 261Qp2300X.
When was the Comprehensive Treatment Center P.C.'s 1407015795 issued?
The Comprehensive Treatment Center P.C.'s 1407015795 was issued on 2008-06-03.
When was the information related to Comprehensive Treatment Center P.C. most recently updated or refreshed?
The details pertaining to the Comprehensive Treatment Center P.C., including its address, specialty, and other relevant information, were last updated or refreshed on 2008-11-13.