person
Dr. Kempaiah A Gowda, MD
Cardiovascular Disease Physician in Southgate, Michigan
NPI 1730133265

Kempaiah A Gowda is a Cardiovascular Disease Physician based in Southgate, MI and is specialized in Cardiovascular Disease. Kempaiah A Gowda practices in Southgate, MI and has the professional credentials of MD. The NPI Number for Kempaiah A Gowda is 1730133265 and holds a License No. 4301037654 (Michigan).

The current practice location address for Kempaiah A Gowda is 15150 Fort St, Southgate, MI and can be reached out via phone at 734-282-4800 and via fax at 734-282-9302.

Location: 15150 Fort St, Southgate, MI, 48195-1302
person
Provider Profile Details
NPI Number
1730133265
Provider Name
Kempaiah A Gowda
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15150 Fort St, Southgate, MI, 48195-1302
Phone Number
734-282-4800
Fax Number
734-282-9302
Provider Enumeration Date
05/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4301037652 01 MI STATE LICENSE #
1730133265 01 MI BCBS TYPE 1 NPI #
0608201051 01 MI BLUE CROSS BLUE SHIELD
11277306 01 MI CAQH
110007760 01 MI RR MEDICARE
4301037652 01 MI CDS #
B43075 01 MI HAP
0820105 01 MI BLUE CARE NETWORK
1623343 05 MI
institution
Provider Business Practice Location Address Details
Address
15150 Fort St
City
State
Zip
48195-1302
Phone Number
734-282-4800
Fax Number
734-282-9302
person
Provider Business Mailing Address Details
Address
15150 Fort St
City
State
Zip
48195-1302
Phone Number
734-282-4800
Fax Number
734-282-9302
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
4301037654 (Michigan)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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