Katragadda, Vatsala

Katragadda, Vatsala is an individual health care provider with primary practice located at 861 Monroe Street , Dearborn MI 48124. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Katragadda, Vatsala can be contacted via phone (313) 274-1800.

Contact Information

Primary practice address
861 Monroe Street Dearborn MI 48124
Fax: (313) 274-8717
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301066984 Michigan
Other Service Providers / Specialist 174400000X 4301066984 Michigan

Profile Details

NPI number 1841270634
LBN Legal business name Katragadda, Vatsala
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jul 11th, 2018 - about 6 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 1841270634 NPPES
Michigan MEDICAID 104623258

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