Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Samyuktha R Madishetty I, MD

Individual provider Internal Medicine Physician · NPI 1770650889

Dr. Samyuktha R Madishetty I, MD is an Internal Medicine in Dearborn, Michigan. Qualified in 1996, 30 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
30
Licensed in
MI
In the registry since
2006
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

24100 Oxford St
Dearborn, MI 48124
Phone: (313) 561-3000
Fax: (313) 561-4831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301080548 (MI)

Record details

NPI number1770650889
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 30, 2006
Last updated in NPPESDecember 11, 2020
Certification dateDecember 11, 2020

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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