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COTTAB MEDICAL GROUP, PLLC
NPI 1164529442
Internal Medicine in Detroit, MI

Active since September 20, 2006
4777 E OUTER DR, DETROIT, MI 48234(313) 369-5700 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cottab Medical Group, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COTTAB MEDICAL GROUP, PLLC (NPI 1164529442) is a healthcare organization registered as an internal medicine in Detroit, Michigan and active in the NPI registry since September 2006. The organization lists Patrick Charles, President, as its authorized official.

NPPES Registry Identity

NPI1164529442
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOTTAB MEDICAL GROUP, PLLC
Location Address4777 E OUTER DRDetroit, MI 48234-3241
Mailing AddressPo Box 36958Grosse Pointe, MI 48236-0958 · (313) 369-5765
Phone(313) 369-5700
Organization SubpartNo
Authorized OfficialPatrick CharlesPresident · (313) 369-5765
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1164529442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4777 E OUTER DR, Detroit, MI 48234
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. COLLEEN BETH VERBEKE MA, LLP
Psychologist
4777 E OUTER DR
DETROIT, MI 48234
Wayne County (313) 369-5000
MS. MARVINA DARLENE ILER
Counselor
4777 E OUTER DR
DETROIT, MI 48234
Wayne County (313) 369-5000
SHAMAN HEALTH EMS LLC
Ambulance (Land Transport)
4777 E OUTER DR
DETROIT, MI 48234
Wayne County (586) 300-5750
ST JOHN HEALTH SYSTEM
General Acute Care Hospital
4777 E OUTER DR
DETROIT, MI 48234
Wayne County (313) 369-5689
RILEY GUEST
Physician Assistant
4777 E OUTER DR
DETROIT, MI 48234
Wayne County (313) 369-9100
KIMBERLY C CULBREATH MSW, LLMSW
Social Worker
4777 E OUTER DR
DETROIT, MI 48234
Wayne County (313) 369-5000
MRS. KATRINA DENISE RICHARDSON NP
Nurse Practitioner
4777 E OUTER DR, 2935 WEST. GRAND BLVD.
DETROIT, MI 48234
Wayne County (313) 369-1960
ALLISON JAY RD
Dietitian, Registered
4777 E OUTER DR
DETROIT, MI 48234
Wayne County (313) 369-5853

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cottab Medical Group, PLLC's NPI number?

The NPI number for Cottab Medical Group, PLLC is 1164529442. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Cottab Medical Group, PLLC located?

Cottab Medical Group, PLLC is located at 4777 E Outer Dr, Detroit, MI 48234. The listed phone number is (313) 369-5700.

What is Cottab Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Cottab Medical Group, PLLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.