Search › Michigan › 225100000X
Gomathi Ethiraju, DPT
NPI 1386147171 · on the registry since 2018 · sole proprietor
Practice
- Address
- 15311 Schaefer Hwy
Detroit, MI 48227 - Phone
- (313) 835-4775
- Organisation at this address
- Madonna Acquisition Company Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan