Gaddipati, Himaja

Gaddipati, Himaja is an sole proprietor health care provider with primary practice located at 11800 E 12 Mile Rd , Warren MI 48093-3472. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Gaddipati, Himaja can be contacted via phone (719) 351-9547.

Contact Information

Primary practice address
11800 E 12 Mile Rd Warren MI 48093-3472
Phone: (719) 351-9547
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 5151013966 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Michigan

Profile Details

NPI number 1215594791
LBN Legal business name Gaddipati, Himaja
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2019
Last updated Jul 26th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215594791 NPPES
Michigan MEDICAID 48071

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