Dheeraj Kothakonda

NPI 1619470473 · on the registry since 2018

Practice

Address: 873 W Avon Rd
Rochester Hills, MI 48307
Phone: (248) 656-6331
Fax: (248) 656-3216
Organisation at this address: Mercy Services For Aging Nonprofit Housing Corporation
Mercy Services For Aging Nonprofit Housing Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
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