NPI 1013223239

Samba Siva Reddy Bathula, MD

Practitioner Otolaryngology Physician Detroit, MI

Practice location

Address: 4160 John R St STE 1007 Dmc Ent-Harper Professional Building, Detroit, MI 48201-2017
Phone: (313) 966-9471
Fax: (313) 966-9470

Registered specialties (2)

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 4301096231 (MI)

Other Otolaryngology providers in Michigan →

Pediatric Otolaryngology Physician

Allopathic & Osteopathic Physicians Taxonomy 207YP0228X Licence 4301096231 (MI)

Registry record

NPI: 1013223239
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Aug 2010
Record last updated: 30 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.