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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JYOTHI NUTAKKI, MD

Active

DR. JYOTHI NUTAKKI, MD is a Psychiatric Neurology healthcare provider located in GRAND BLANC, Michigan. NPI 1235240359 is currently active in the NPPES registry. Verify at CMS.

Psychiatric Neurology · GRAND BLANC, MI

Registration Details

NPI Number
1235240359
Provider Type
Individual
Gender
Female
NPI Issued
Aug 31, 2006 (19.9985012514 yrs)
Last Updated
Sep 20, 2007
Licenses
4301069608 (MI)
4301069608 (MI)

Practice Information

Address
8435 HOLLY RD
GRAND BLANC, MI, 484391812
Browse MI providers · Browse ZIP 48439
Phone
8104242400
Fax
8105797222
Primary Specialty
Psychiatric Neurology
2084P0804X
Additional Specialty
Psychiatric Neurology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.