Theethaye L. Ittiara, MD, PC
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.
Practice location Address checks out
142 E Maumee StAdrian, 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 number | 1124289806 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Theethaye Ittiara — Owner · (517) 263-5810 |
| NPI enumerated | June 24, 2008 |
| Last updated in NPPES | June 24, 2008 |
| Mailing address | 142 E Maumee St, Adrian, MI 49221-2735 |
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