Gowda, Kempaiah A

Gowda, Kempaiah A is an individual health care provider with primary practice located at 15150 Fort St , Southgate MI 48195-1302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gowda, Kempaiah A can be contacted via phone (734) 282-4800.

Contact Information

Primary practice address
15150 Fort St Southgate MI 48195-1302
Fax: (734) 282-9302
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301037654 Michigan
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301037652 Michigan

Profile Details

NPI number 1730133265
LBN Legal business name Gowda, Kempaiah A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Mar 30th, 2017 - about 8 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 1730133265 NPPES
Michigan Other 4301037652 STATE LICENSE #
Michigan Other 1730133265 STATE LICENSE #
Michigan Other 0608201051 STATE LICENSE #
Michigan Other 11277306 STATE LICENSE #
Michigan Other 110007760 STATE LICENSE #
Michigan Other 4301037652 STATE LICENSE #
Michigan Other B43075 STATE LICENSE #
Michigan Other 0820105 STATE LICENSE #
Michigan MEDICAID 1623343 STATE LICENSE #

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