Surapaneni, Kiranmayi
Surapaneni, Kiranmayi is an sole proprietor health care provider with primary practice located at 116 W 8 Mile Rd , Hazel Park MI 48030-2433. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Surapaneni, Kiranmayi can be contacted via phone (248) 541-7606.Contact Information
Primary practice address
116 W 8 Mile Rd
Hazel Park MI 48030-2433
Phone: (248) 541-7606
Fax: (248) 541-7197
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301080888 | Michigan |
Profile Details
| NPI number | 1376587683 |
|---|---|
| LBN Legal business name | Surapaneni, Kiranmayi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Mar 5th, 2010 - about 14 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 | 1376587683 | NPPES |
| Michigan | MEDICAID | 4654002 |
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