Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theethaye L. Ittiara, MD, PC

Organization Community/Behavioral Health Agency · NPI 1124289806

Theethaye L. Ittiara, MD, PC is a Community/Behavioral Health Agency in Adrian, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

142 E Maumee St
Adrian, MI 49221-2735
Phone: (517) 263-5810
Fax: (517) 263-5810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence TI031889 (MI)

Record details

NPI number1124289806
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theethaye Ittiara — Owner · (517) 263-5810
NPI enumeratedJune 24, 2008
Last updated in NPPESJune 24, 2008
Mailing address142 E Maumee St, Adrian, MI 49221-2735

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