Provider Demographics
NPI:1659476869
Name:STERLING PHYSICIANS, P.C.
Entity Type:Organization
Organization Name:STERLING PHYSICIANS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:BURTKA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:586-939-9160
Mailing Address - Street 1:36040 DEQUINDRE RD
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-4239
Mailing Address - Country:US
Mailing Address - Phone:586-939-9160
Mailing Address - Fax:586-939-0162
Practice Address - Street 1:36040 DEQUINDRE RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-4239
Practice Address - Country:US
Practice Address - Phone:586-939-9160
Practice Address - Fax:586-939-0162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIJB026529207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MINPI1255313201OtherSHANTHA RAJAKRISHNAMURTHY
MINPI1659303766OtherKAMESHWARI YERRA
MINPI1558351189OtherJOSEPH BURTKA
MINPI1972593499OtherJAMES BURTKA
MINPI1255313201OtherSHANTHA RAJAKRISHNAMURTHY
MIA74170Medicare UPIN
MINPI1972593499OtherJAMES BURTKA
MIG44645Medicare UPIN