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

Individual provider Psychiatry Physician · NPI 1386657427

Dr. Vijaya Gopal Kotha, MD is a Psychiatry in Mount Clemens, Michigan. Qualified in 1983, 43 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
43
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

215 N Ave
Mount Clemens, MI 48043-1716
Phone: (313) 580-6760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11900 E Twelve Mile Rd, Warren, MI 48093-3472 — (586) 573-5300

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 4301058577 (MI)

Record details

NPI number1386657427
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 13, 2006
Last updated in NPPESMarch 31, 2021
Certification dateMarch 30, 2021

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Also practisesNEUROLOGY
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Mount Clemens