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

Amitha Kakulavaram, MD

Individual provider Nephrology Physician · NPI 1720267800

Amitha Kakulavaram, MD is a Nephrology in Pontiac, Michigan. Qualified in 2002, 24 years ago. Practices with Michigan Kidney Consultants PC, a 45-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
24
Licensed in
MI
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

44200 Woodward Ave Ste 209
Pontiac, MI 48341-5045
Phone: (248) 253-0330
Fax: (248) 253-1982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 44555 Woodward Ave, Pontiac, MI 48341-5031 — (248) 858-3011

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 4301084121 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301084121 (MI)
Hospitalist Physician Taxonomy 208M00000X · Licence 4301084121 (MI)

Record details

NPI number1720267800
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 25, 2007
Last updated in NPPESJune 6, 2022
Certification dateJune 6, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Michigan Kidney Consultants Pc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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