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

Surendra Kelwala, MD

Individual provider Psychiatry Physician · NPI 1558475517

Surendra Kelwala, MD is a Psychiatry in Livonia, Michigan. Qualified in 1974, 52 years ago. Practices with Great Lakes Physicians PC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
52
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

36180 Five Mile Rd
Livonia, MI 48154-1919
Phone: (734) 591-7666
Fax: (734) 591-2426
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 4301043972 (MI)

Record details

NPI number1558475517
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 18, 2006
Last updated in NPPESOctober 2, 2012

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1974 (52 years in practice)
Group practice Great Lakes Physicians Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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