Nagaraju, Pradeep

Nagaraju, Pradeep is an individual health care provider with primary practice located at 3535 W 13 Mile Rd Suite 407, Royal Oak MI 48073-6770. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Nagaraju, Pradeep can be contacted via phone (248) 551-0638.

Contact Information

Primary practice address
3535 W 13 Mile Rd Suite 407 Royal Oak MI 48073-6770
Phone: (248) 551-0638
Fax: (248) 355-1449
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 4301083042 Michigan
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 2088F0040X 4301083042 Michigan

Profile Details

NPI number 1285615583
LBN Legal business name Nagaraju, Pradeep
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Sep 11th, 2014 - about 12 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 1285615583 NPPES
Michigan Other PN083042 BCBSM LICENCE NUMBER
Michigan Other 0E06273 BCBSM LICENCE NUMBER

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