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

Sudha Chakravarty, MD

Individual provider Family Medicine Physician · NPI 1205823069

Sudha Chakravarty, MD is a Family Practice in Livonia, Michigan. Qualified in 1989, 37 years ago. Practices with Iha Olma Primary Non Risk LLC, a 15-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
37
Licensed in
MI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Iha Primary Care -Freedom 20206 Farmington Rd
Livonia, MI 48152
Phone: (248) 476-4724
Fax: (313) 416-1567
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301073432 (MI)

Record details

NPI number1205823069
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 5, 2005
Last updated in NPPESMay 13, 2023
Certification dateMay 13, 2023
Mailing address24 Frank Lloyd Wright Drive, Suite J2000, Ann Arbor, MI 48105

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Iha Olma Primary Non Risk Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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