Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAYA RAGHU TEJA TEJA GADIVEMULA, MD
DeactivatedDR. JAYA RAGHU TEJA TEJA GADIVEMULA, MD is a Internal Medicine healthcare provider located in DETROIT, Michigan. NPI 1639551039 is deactivated in the NPPES registry. Verify at CMS.
Internal Medicine · DETROIT, MI
This NPI has been deactivated.
The record was deactivated on February 2, 2016.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1639551039
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2015 (0.61475409836066 yrs)
- Last Updated
- Dec 30, 2019
- Deactivated
- Feb 2, 2016
- License
-
321436 (LA)
Practice Information
- Address
-
4201 ST. ANTOINESTE 2EDETROIT, MI, 48201Browse MI providers · Browse ZIP 48201
- Phone
- 3137454525
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| DR. UMA D GORREPATI | MD | 1508864240 |
| DR. PATRICK ANSELM CHARLES | M.D. | 1396742151 |
| DR. ALI H MAHMOOD | MD | 1386643013 |
| DR. FELICIA R. RANDOLPH | MD | 1710986450 |
| DR. MOHAMED-IQBAL PASHA ROUF | MD | 1669471116 |
| RUDOLPH MENCHL JR. | MD | 1003818634 |
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.