PRATIMA BOINEPALLI MD P.L.L.C NPI 1821463175

NPI Information

NPI: 1821463175
Provider Name: PRATIMA BOINEPALLI MD, P.L.L.C
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 23D2109950

Address:
1901 BELWOOD DR
OKEMOS, MI
ZIP 48864
Phone: (517) 347-4660
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PRATIMA BOINEPALLI MD, P.L.L.C is a primary care clinic center in Okemos, MI. PRATIMA BOINEPALLI MD, P.L.L.C NPI is 1821463175. The provider is registered as an organization entity type.

The provider's business location address is:

1901 BELWOOD DR
OKEMOS, MI
ZIP 48864-908
Phone: (517) 347-4660

The provider's authorized official is Pratima Boinepalli .
The authorized official title is Physician and has the following contact phone number (517) 347-4660.

The CLIA number assigned to this NPI record is 23D2109950 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/10/2015 and was last updated on 12/10/2015.

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	261QP2300X	Clinic/Center	Primary Care	4301085879	MICHIGAN	Yes

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: 5/5/2024

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