Doctor Name: | KARTIKE GULATI |
NPI Number: | 1043507908 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O |
License Number: | 5101019433 |
Business Practice Address: | 1000 Harrington St Mount Clemens, MI - 480432920 |
Business Phone Number: | 5864639173 |
Business Fax Number: | |
Mailing Address: | 18168 Cheval Dr, CLINTON TOWNSHIP |
State: | MI |
Postal Code: | 480381226 |
Phone Number: | 6308540803 |
Fax Number: | |
NPI Enumeration Date: | 06/29/2011 |
NPI Last Update Date: | 06/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207YX0905X |
License Number: | 5101019433 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Otolaryngology |
Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |