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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083687842 | NPPES |
| Michigan | Other | 4301072588 | STATE PHYSICIAN LICENSE |
| Michigan | MEDICAID | 4594915 | STATE PHYSICIAN LICENSE |
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