Prime Care Physician Pc

LBN: Prime Care Physician Pc
Prime Care Physician Pc is an health care organization with primary practice located at 121 W 13 Mile Rd , Madison Heights MI 48071-1857. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Prime Care Physician Pc can be contacted via phone (248) 583-0960, or through Maripudi, Girija via phone (248) 583-0960.

Contact Information

Primary practice address
121 W 13 Mile Rd Madison Heights MI 48071-1857
Fax: (248) 583-0961
Website:
Authorized official contact:
Name: Maripudi, Girija Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301066341 Michigan

Profile Details

NPI number 1568635282
LBN Legal business name Prime Care Physician Pc
DBA Doing business as
Authorized official Maripudi, Girija Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2008
Last updated Feb 25th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568635282 NPPES
Michigan MEDICAID 4593972

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