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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184464323

Thejas Raghava Gowda, DO is a Student in an Organized Health Care Education/Training Program in Detroit, Michigan. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

22201 Moross Rd Ste 50
Detroit, MI 48236-2166
Phone: (313) 343-7774
Fax: (313) 343-8747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1184464323
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 27, 2024
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024

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