Dr. Chethana Chandrupatla Gottam, M.D.
Dermatology in Berkley, MI. Individual provider (NPI-1).
NPI number1669664009
StatusActive
Last updated in NPPESFeb 9, 2026
Details
- NPI
- 1669664009
- Entity type
- Individual (NPI-1)
- Name
- Dr. Chethana Chandrupatla Gottam
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 9, 2007
- Certification date
- Feb 9, 2026
- Last updated
- Feb 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 4301108548 | MI | Yes |
| 207N00000X | Dermatology | 036.122055 | IL | |
| 207N00000X | Dermatology | ME151146 | FL |
Other names
- Chethana Chandrupatla (Former Name)
Practice location
28903 Woodward AveBerkley, MI 48072
Phone 248-581-0333 · Fax 248-876-9144
Mailing address
43900 Garfield RdSte 100
Clinton Township, MI 48038-1128
Phone 586-286-0112 · Fax 586-286-2702
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