Theethaye Ittiara MD PC
Psychiatry & Neurology, Psychiatry in Adrian, MI. Organization (NPI-2).
NPI number1881968394
StatusActive
Last updated in NPPESMar 1, 2012
Details
- NPI
- 1881968394
- Entity type
- Organization (NPI-2)
- Legal business name
- Theethaye Ittiara MD PC
- Organization subpart
- No
- Enumeration date
- Mar 1, 2012
- Last updated
- Mar 1, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 4301031889 | MI | Yes |
Practice location
142 E Maumee Street Suite 3Adrian, MI 49221-3619
Phone 517-263-5810
Mailing address
142 E Maumee Street Suite 3Adrian, MI 49221-3619
Phone 517-263-5810
Authorized official
Theethaye L Ittiara
MD
5172635810
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Other Psychiatry Physician providers in Adrian, MI
- Theethaye Lonappan Ittiara, M.DNPI 1174585475
- Thresiamma Jacob, M.D.NPI 1518055151
- Manish Prasad, M.D.NPI 1558395947
- Robert Shaw, CNPNPI 1962240184
- Luven Marie Sequerra Tejero, MDNPI 1659421915
All 6 Psychiatry Physician providers in Adrian · All 1,237 providers in Adrian
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