Kamaraju, Praveen Kumar

Kamaraju, Praveen Kumar is an individual health care provider with primary practice located at 3720 Katalin Court , Bay City MI 48706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kamaraju, Praveen Kumar can be contacted via phone (989) 686-2800.

Contact Information

Primary practice address
3720 Katalin Court Bay City MI 48706
Phone: (989) 686-2800
Fax: (989) 686-5920
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301072588 Michigan

Profile Details

NPI number 1083687842
LBN Legal business name Kamaraju, Praveen Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083687842 NPPES
Michigan Other 4301072588 STATE PHYSICIAN LICENSE
Michigan MEDICAID 4594915 STATE PHYSICIAN LICENSE

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