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
Phone: (734) 712-8350
Fax: (734) 712-8351
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578514410 | NPPES |
| Michigan | MEDICAID | 4739306 |
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