Alta Deroo, MD

Individual Active
NPI 1184791725
Addiction Medicine (Preventive Medicine) Physician Kalamazoo, MI

Alta Deroo, MD holds NPI 1184791725, with a primary taxonomy of addiction medicine (preventive medicine) physician and a practice location in Kalamazoo, MI. The number was issued on November 29, 2006 and the NPPES record was last updated on October 18, 2024. The record lists 6 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Addiction Medicine (Preventive Medicine) Physician Primary 2083A0300X 71806 (MN)
Obstetrics & Gynecology Physician 207V00000X 71806 (MN)
Obstetrics & Gynecology Physician 207V00000X 168454 (CA)
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 168454 (CA)
Obstetrics & Gynecology Physician 207V00000X 4301116178 (MI)
Obstetrics & Gynecology Physician 207V00000X 0101237764 (VA)

Practice location

1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone: (269) 226-5927

Local context

Active NPPES records list 1 provider with addiction medicine (preventive medicine) physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 8 in Michigan and 511 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Other providers at this address

Providers whose NPPES practice location has the same street address, listing those with a page here.

Record history

Name on record
Alta J. Deroo
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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