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Dr. Prasad J Thottam, DO
Otolaryngology/Facial Plastic Surgery Physician in West Bloomfield, Michigan
NPI 1851720312

Prasad J Thottam is a Otolaryngology/Facial Plastic Surgery Physician based in West Bloomfield, MI and is specialized in Otolaryngology/Facial Plastic Surgery. Prasad J Thottam practices in West Bloomfield, MI and has the professional credentials of DO. The NPI Number for Prasad J Thottam is 1851720312 and holds a License No. 5101018245 (Michigan).

The current practice location address for Prasad J Thottam is 7001 Ochard Lake Road, West Bloomfield, MI and can be reached out via phone at 248-571-3600 and via fax at 248-973-8560.

Location: 7001 Ochard Lake Road, West Bloomfield, MI, 48322-3607
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851720312
Provider Name
Prasad J Thottam
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
7001 Ochard Lake Road, West Bloomfield, MI, 48322-3607
Phone Number
248-571-3600
Fax Number
248-973-8560
Provider Enumeration Date
11/05/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
383490114 01 MI TAX ID
institution
Provider Business Practice Location Address Details
Address
7001 Ochard Lake Road
City
West Bloomfield
State
Michigan
Zip
48322-3607
Phone Number
248-571-3600
Fax Number
248-973-8560
person
Provider Business Mailing Address Details
Address
7001 Ochard Lake Road
City
West Bloomfield
State
Michigan
Zip
48322-3607
Phone Number
248-571-3600
Fax Number
248-973-8560
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
5101018245 (Michigan)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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