IndividualActive
Ajay Ghotra, DO
NPI 1710729892 · Emergency Medicine Physician · Pontiac, MI
Provider details
- NPI number
- 1710729892
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 4311087479 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
50 N Perry St
Pontiac, MI 48342-2217
Phone: (248) 338-5000
Approximate (ZIP-level) locationGet directions
Mailing address
50 N Perry St
Pontiac, MI 48342-2217
Registry dates
- Enumerated
- 2024-06-10
- Last updated
- 2024-06-10
- Certified
- 2024-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.