Kasotakis, Michael J

Kasotakis, Michael J is an individual health care provider with primary practice located at 5333 Mcauley Dr Suite 6016, Ypsilanti MI 48197-1014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kasotakis, Michael J can be contacted via phone (734) 712-8350.

Contact Information

Primary practice address
5333 Mcauley Dr Suite 6016 Ypsilanti MI 48197-1014
Fax: (734) 712-8351
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301076909 Michigan

Profile Details

NPI number 1578514410
LBN Legal business name Kasotakis, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Aug 30th, 2013 - about 11 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 1578514410 NPPES
Michigan MEDICAID 4739306

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