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DR. LAKSHMI SUBBA NELLUTLA MD
NPI 1629216007
Family Medicine in Detroit, MI

Active since January 23, 2009
7733 E JEFFERSON AVE, DETROIT, MI 48214(313) 499-4900(313) 499-4483 Get Directions Write a Review

NPPES record last updated: October 6, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Lakshmi Subba Nellutla Md NPPES

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

DR. LAKSHMI SUBBA NELLUTLA MD (NPI 1629216007) is an individual family medicine provider in Detroit, Michigan, licensed in Michigan (4301093294) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1629216007
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LAKSHMI SUBBA NELLUTLACredential: MD
Location Address7733 E JEFFERSON AVEDetroit, MI 48214-3707
Mailing Address17197 N Laurel Park Dr, Suite 161Livonia, MI 48152-2680 · (734) 338-8300 · Fax (734) 338-8301
Phone(313) 499-4900
Fax(313) 499-4483
Sole ProprietorNo
Enumeration DateJanuary 23, 2009
Last NPPES UpdateOctober 6, 2010
✔ NPI 1629216007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301093294
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7733 E JEFFERSON AVE, Detroit, MI 48214
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Other Identifiers 2

Other700H231390MI · Bcbs Group Number
Medicare PIN0P47270MI

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.

ST JOHN MACOMB OAKLAND HOSPITAL
Pathology (Anatomic Pathology & Clinical Pathology)
7733 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (313) 499-4000
MUTHUVASUKI VEERAPPAN M.D.
Anesthesiology
7733 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (313) 499-4254
ST JOHN MACOMB OAKLAND HOSPITAL
Internal Medicine (Cardiovascular Disease)
7733 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (313) 499-4000
MR. JOHN HOGIER ESPINA OTR
Occupational Therapist
7733 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (313) 499-4569
DR. FRANK BEVER MD
Pathology (Anatomic Pathology & Clinical Pathology)
7733 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (313) 499-3000
LEOPOLDO P PALAD JR. M.D.
Anesthesiology
7733 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (313) 499-4254
DR. DIANE L MAENNLE MD
Pathology (Anatomic Pathology & Clinical Pathology)
7733 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (313) 499-3000
MR. MICHAEL J MARTINKO PTA
Physical Therapy Assistant
7733 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (313) 499-4572

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 Lakshmi Nellutla's NPI number?

The NPI number for Lakshmi Nellutla is 1629216007. It was assigned to this individual provider in the NPPES registry on January 23, 2009.

Where is Lakshmi Nellutla located?

Lakshmi Nellutla practices at 7733 E Jefferson Ave, Detroit, MI 48214. The listed phone number is (313) 499-4900.

What is Lakshmi Nellutla's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Lakshmi Nellutla was last updated on October 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.