Tootla, Amod S
Tootla, Amod S is an sole proprietor health care provider with primary practice located at 5220 Highland Rd Ste 200 , Waterford MI 48327-1973. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Tootla, Amod S can be contacted via phone (248) 334-3197.Contact Information
Primary practice address
5220 Highland Rd Ste 200
Waterford MI 48327-1973
Phone: (248) 334-3197
Fax: (248) 335-8857
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | AT031237 | Michigan |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 4301031237 | Michigan |
| Other Service Providers / Specialist | 174400000X | 4301031237 | Michigan |
Profile Details
| NPI number | 1841340510 |
|---|---|
| LBN Legal business name | Tootla, Amod S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Jan 31st, 2022 - about 3 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 | 1841340510 | NPPES |
| Michigan | MEDICAID | 2100453 | |
| Michigan | MEDICAID | 0639891 |
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