Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PRASAD J THOTTAM, D.O.
Active Sole ProprietorDR. PRASAD J THOTTAM, D.O. is a Facial Plastic Surgery healthcare provider located in WEST BLOOMFIELD, Michigan. NPI 1851720312 is currently active in the NPPES registry. Verify at CMS.
Facial Plastic Surgery · WEST BLOOMFIELD, MI
Registration Details
- NPI Number
- 1851720312
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 5, 2013 (12.78226677051 yrs)
- Last Updated
- Apr 10, 2025
- License
-
5101018245 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7001 OCHARD LAKE ROAD320CWEST BLOOMFIELD, MI, 483223607Browse MI providers · Browse ZIP 48322
- Phone
- 2485713600
- Fax
- 2489738560
- Primary Specialty
-
Facial Plastic Surgery
207YX0905X
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.