NPI: 1275022519 · BERKLEY, MI 48072 · Dermatology Physician · NPI assigned 05/02/2018
| Authorized Official | GOTTAM, CHETHANA (OWNER) |
| NPI Enumeration Date | 05/02/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 17 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 17 | 17 | $2K |