Dr Pavan Kumar Gorukanti, MD is a
Internal Medicine physician based in Harvey, Michigan. Dr Pavan Kumar Gorukanti is licensed to practice in Michigan (license number 4301094183) and his current practice location is 170 Bayou St, Harvey, Michigan. He can be reached at his office (for appointments etc.) via phone at
(517) 974-8055.
NPI number for Dr Pavan Kumar Gorukanti is 1629208392 and his current mailing address is 1414 W Fair Ave, Ste 211, Marquette, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629208392.
Physician's Profile
| Full Name | Dr Pavan Kumar Gorukanti |
|---|
| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 170 Bayou St, Harvey, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629208392
- Provider Enumeration Date: 07/16/2009
- Last Update Date: 05/30/2017
Medical Identifiers
Medical identifiers for Dr Pavan Kumar Gorukanti such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629208392 | NPI | - | NPPES |
| 1629208392 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 4301094183 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Pavan Kumar Gorukanti is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Pavan Kumar Gorukanti, MD
1414 W Fair Ave, Ste 211,
Marquette, MI 49855-5406
Ph: (906) 225-3912 | Dr Pavan Kumar Gorukanti, MD
170 Bayou St,
Harvey, MI 49855-9101
Ph: (517) 974-8055 |
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