PRIME CARE PHYSICIAN PC NPI 1568635282

NPI Information

  • NPI: 1568635282
  • Provider Name: PRIME CARE PHYSICIAN PC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 121 W 13 MILE RD
    MADISON HEIGHTS, MI
    ZIP 48071
  • Phone: (248) 583-0960

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NPI Details

PRIME CARE PHYSICIAN PC is a general practice in Madison Heights, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PRIME CARE PHYSICIAN PC NPI is 1568635282. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

121 W 13 MILE RD
MADISON HEIGHTS, MI
ZIP 48071-857
Phone: (248) 583-0960
Fax: (248) 583-0961

The provider's authorized official is Girija Maripudi .
The authorized official title is Owner and has the following contact phone number (248) 583-0960.

The enumeration date for this NPI number is 4/3/2008 and was last updated on 2/25/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice4301066341MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10N84950MEDICARE PINMICHIGAN
24593972MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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