SearchMichigan225100000X

Vidya Thotakura

NPI 1750738332 · on the registry since 2016 · sole proprietor

Practice

Address
3867 Wilder Rd
Bay City, MI 48706
Phone
(989) 460-0020
Fax
(989) 460-0021
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
2016-05-24

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