| Detroit Medical Service Plc | |
|
4160 John R St Suite 730 Detroit MI 48201-2020 | |
| (313) 831-7005 | |
| (313) 831-7002 |
| Full Name | Detroit Medical Service Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4160 John R St, Detroit, Michigan |
| Authorized Official Name and Position | Uma Gorrepati (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3138317005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Detroit Medical Service Plc 4160 John R St Suite 730 Detroit MI 48201-2020 Ph: (313) 831-7005 | Detroit Medical Service Plc 4160 John R St Suite 730 Detroit MI 48201-2020 Ph: (313) 831-7005 |
| NPI Number | 1770524639 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 09/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770524639 | NPI | - | NPPES |
| 4582263 | Other | MI | AETNA |
| DR6312 | Other | MI | RAILROAD MEDICARE GROUP |
| E93374 | Other | MI | HAP |
| 137660 | Other | MI | CARE CHOICES |
| 1770524639 | Medicaid | MI | |
| 110H2322130 | Other | MI | BC GROUP |
| 110H242220 | Other | MI | BC GROUP |
| 1108298481 | Other | MI | BCBS |
| 8635261 | Other | MI | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301053629 (Michigan) | Primary |
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