KIM K TEKKANAT M.D.
NPI 1205088002
Pediatrics - Neonatal-Perinatal Medicine in Ypsilanti, MI

Active since October 13, 2008
5301 E HURON RIVER DR, DEPARTMENT OF PEDIATRICS, YPSILANTI, MI 48197(734) 712-3325 Get Directions Write a Review

NPPES record last updated: October 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kim K Tekkanat M.d. NPPES

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

KIM K TEKKANAT M.D. (NPI 1205088002) is an individual neonatal-perinatal medicine provider in Ypsilanti, Michigan, licensed in Michigan (4301066128) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1205088002
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameKIM K TEKKANATCredential: M.D.
Location Address5301 E HURON RIVER DR, DEPARTMENT OF PEDIATRICSYpsilanti, MI 48197-1051
Mailing AddressPo Box 446Ann Arbor, MI 48106-0446
Sole ProprietorNo
Enumeration DateOctober 13, 2008
Last NPPES UpdateOctober 14, 2016
NPI 1205088002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License Licensed in MI · 4301066128
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
5301 E HURON RIVER DR, Ypsilanti, MI 48197

Other Identifiers 3

Other700H161150MI · Blue Shield/bcn
Medicaid104112239MI
Medicare PIN0H16115MI

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.

Internal Medicine
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Internal Medicine
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Physician Assistant (Surgical)
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Nurse Practitioner
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Nurse Anesthetist, Certified Registered
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Nurse Anesthetist, Certified Registered
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Internal Medicine
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Internal Medicine
5301 E HURON RIVER DR
YPSILANTI, MI 48197

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 Kim Tekkanat's NPI number?

The NPI number for Kim Tekkanat is 1205088002. It was assigned to this individual provider in the NPPES registry on October 13, 2008.

Where is Kim Tekkanat located?

Kim Tekkanat practices at 5301 E Huron River Dr Department Of Pediatrics, Ypsilanti, MI 48197. The listed phone number is (734) 712-3325.

What is Kim Tekkanat's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

When was this NPI record last updated?

The NPPES record for Kim Tekkanat was last updated on October 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.