PHADEJ KEOPUNNA MD NPI 1699873075

NPI Information

NPI: 1699873075
Provider Name: PHADEJ KEOPUNNA, MD
Classification: Urology - 208800000X
Entity Type: Individual
Address:
70 NORTH FROST DR
SAGINAW, MI
ZIP 48638
Phone: (989) 792-6776
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Phadej Keopunna, MD is an urology in Saginaw, MI. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Phadej Keopunna, MD NPI is 1699873075. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

70 NORTH FROST DR
SAGINAW, MI
ZIP 48638
Phone: (989) 792-6776
Fax: (989) 792-6792

The enumeration date for this NPI number is 9/20/2006 and was last updated on 7/8/2007.

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
1	208800000X	Urology		PK035585	MICHIGAN	Yes

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
1	2105487	MEDICAID	MICHIGAN
2	B45645	MEDICARE UPIN
3	0730002	MEDICARE ID-TYPE UNSPECIFIED

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: 4/28/2024

NPI Synchronization or Removal

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