Pradeep Nagaraju in Saint Clair Shores - Female Pelvic Medicine And Reconstructive Surgery
Pradeep Nagaraju - NPI 1285615583
Pradeep Nagaraju is a Female Pelvic Medicine And Reconstructive Surgery in Saint Clair Shores, Michigan. Pradeep Nagaraju practices all healthcare services and medical treatments related to Female Pelvic Medicine And Reconstructive Surgery. The NPI Number for Pradeep Nagaraju is 1285615583. The last update date is 2014-09-11.
Pradeep Nagaraju's current location address is 20952 E 12 Mile Rd, Saint Clair Shores, Michigan. You can contact this provider via phone number 5867714820 and fax number 5867716620. The mailing address for Pradeep Nagaraju is 20952 E 12 Mile Rd, Saint Clair Shores, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pradeep Nagaraju |
|---|---|
| Address | 20952 E 12 Mile Rd, Saint Clair Shores, Michigan |
| Phone Number | 5867714820 |
| Fax Number | 5867716620 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1285615583 |
|---|---|
| Provider Enumeration Date | 2005-11-14 |
| Last Updated Date | 2014-09-11 |
Provider Mailing Address Detail
| Address | 20952 E 12 Mile Rd |
|---|---|
| City | Saint Clair Shores |
| State | Michigan (MI) |
| Post Code | 480813200 |
| Phone Number | 5867714820 |
| Fax Number | 5867716620 |
Provider's Primary Taxonomy Detail
| Speciality | Female Pelvic Medicine And Reconstructive Surgery |
|---|---|
| Taxonomy | 2088F0040X |
| Licence No | 4301083042 |
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Definition: A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with compl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PN083042 | MI | BCBSM LICENCE NUMBER | |
| 0E06273 | MI | BCBSM |
Post Comment/ Review Below
What is the unique provider identifier assigned to Pradeep Nagaraju?
The Pradeep Nagaraju has been issued the NPI (National Provider Identifier) 1285615583 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Pradeep Nagaraju is located?
The Pradeep Nagaraju is situated at the following address: 20952 E 12 Mile Rd, Saint Clair Shores, MI, 480813200.
What is Pradeep Nagaraju's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Pradeep Nagaraju is Female Pelvic Medicine And Reconstructive Surgery, and the taxonomy classification code that categorizes this area of expertise is 2088F0040X.
On what date did the Centers for Medicare & Medicaid Services assign the 1285615583 to Pradeep Nagaraju?
The Centers for Medicare & Medicaid Services assigned the 1285615583 to Pradeep Nagaraju on 2005-11-14.
As of what date was the information regarding Pradeep Nagaraju, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Pradeep Nagaraju, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-09-11.