Individual
DR. CHETHANA CHANDRUPATLA GOTTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
28903 WOODWARD AVE, BERKLEY, MI 48072
(248) 581-0333
(248) 876-9144
Mailing address
43900 GARFIELD RD, STE 100, CLINTON TOWNSHIP, MI 48038-1128
(586) 286-0112
(586) 286-2702
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
036.122055
IL
207N00000X
Dermatology Physician
Primary
4301108548
MI
207N00000X
Dermatology Physician
ME116448
FL
207N00000X
Dermatology Physician
ME151146
FL
Other
Enumeration date
08/09/2007
Last updated
02/09/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us