Individual
DR. CHINMAYEE POTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 916-3056
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 916-3056
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
74076
TN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4301115263
MI
Other
Enumeration date
06/30/2018
Last updated
04/17/2026
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