Detroit Medical Service Plc in Detroit - Internal Medicine

Detroit Medical Service Plc - NPI 1770524639

Detroit Medical Service Plc is a Internal Medicine in Detroit, Michigan. Detroit Medical Service Plc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Detroit Medical Service Plc is 1770524639. The last update date is 2011-09-19.

Detroit Medical Service Plc's current location address is 4160 John R St, Detroit, Michigan. You can contact this provider via phone number 3138317005 and fax number 3138317002. The mailing address for Detroit Medical Service Plc is 4160 John R St, Detroit, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Detroit Medical Service Plc
Address 4160 John R St, Detroit, Michigan
Phone Number 3138317005
Fax Number 3138317002
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/PHYS
Authorized Official Name Gorrepati Uma
Credentials MD
Telephone Number 3138317005

NPI Number Detail

NPI Number 1770524639
Provider Enumeration Date 2006-06-09
Last Updated Date 2011-09-19

Provider Mailing Address Detail

Address 4160 John R St
City Detroit
State Michigan (MI)
Post Code 482012020
Phone Number 3138317005
Fax Number 3138317002

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 4301053629
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 di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4582263 MI AETNA
DR6312 MI RAILROAD MEDICARE GROUP
E93374 MI HAP
137660 MI CARE CHOICES
1770524639 MI --
110H2322130 MI BC GROUP
110H242220 MI BC GROUP
1108298481 MI BCBS
8635261 MI CIGNA

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FAQs about Detroit Medical Service Plc

What is the unique 10-digit identification code issued to Detroit Medical Service Plc by the Centers for Medicare & Medicaid Services?

The Detroit Medical Service Plc has been assigned the NPI (National Provider Identifier) 1770524639 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Detroit Medical Service Plc is physically located?

The Detroit Medical Service Plc is situated at the following address: 4160 John R St, Detroit, MI 482012020.

What is the Detroit Medical Service Plc's specialty and taxonomy code?

The Detroit Medical Service Plc's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1770524639 to Detroit Medical Service Plc?

The Centers for Medicare & Medicaid Services originally issued the 1770524639 to Detroit Medical Service Plc on 2006-06-09.

As of what date were the details related to Detroit Medical Service Plc most recently updated or revised?

The information pertaining to Detroit Medical Service Plc, including its address, specialty, and other relevant details, was last updated or revised on 2011-09-19.

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