Provider Demographics
NPI:1619002177
Name:DAS L. KARETI, M.D., P.C.
Entity Type:Organization
Organization Name:DAS L. KARETI, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAS
Authorized Official - Middle Name:L
Authorized Official - Last Name:KARETI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-650-9100
Mailing Address - Street 1:332 W TIENKEN RD
Mailing Address - Street 2:STE. A
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48306-4473
Mailing Address - Country:US
Mailing Address - Phone:248-650-9100
Mailing Address - Fax:248-650-5141
Practice Address - Street 1:332 W TIENKEN RD
Practice Address - Street 2:STE. A
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48306-4473
Practice Address - Country:US
Practice Address - Phone:248-650-9100
Practice Address - Fax:248-650-5141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3096687Medicaid
OP16380Medicare ID - Type Unspecified
MI3096687Medicaid