| Durga Mulpuri, MD | |
|
15050 E Jefferson Ave, Grosse Pointe Park, MI 48230-2050 | |
| (313) 823-4682 | |
| (313) 823-8022 |
| Full Name | Durga Mulpuri |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 38 Years |
| Location | 15050 E Jefferson Ave, Grosse Pointe Park, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891786216 | NPI | - | NPPES |
| 700H249730 | Other | MI | BCBS GROUP NUMBER |
| 4456884 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301068839 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St John Hospital | Detroit, MI | Hospital |
| Ascension Providence Hospital, Southfield And Novi | Southfield, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Michigan-cmg | 7517162761 | 63 |
| Entity Name | Ascension St John Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
| Entity Name | Ascension Michigan-cmg |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851765374 PECOS PAC ID: 7517162761 Enrollment ID: O20160127001523 |
| Mailing Address | Practice Location Address |
|---|---|
| Durga Mulpuri, MD 15050 E Jefferson Ave, Grosse Pointe Park, MI 48230-2050 Ph: (313) 823-4682 | Durga Mulpuri, MD 15050 E Jefferson Ave, Grosse Pointe Park, MI 48230-2050 Ph: (313) 823-4682 |
Claudia Kirk, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15120 Kercheval Ave, Grosse Pointe Park, MI 48230 Phone: 313-469-8281 Fax: 313-458-8864 | |
Peter J. Rodin, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15200 Kercheval Ave, Grosse Pointe Park, MI 48230 Phone: 313-417-6100 Fax: 313-417-6107 | |
Mrs. Robina Ijaz Sial, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15200 Kercheval Ave, Grosse Pointe Park, MI 48230 Phone: 313-417-6100 | |
Dr. Lindsay Marie Smith, MD MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15200 Kercheval Ave, Grosse Pointe Park, MI 48230 Phone: 947-519-6700 Fax: 947-519-6701 | |
Lawrence Pan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15200 Kercheval Ave, Grosse Pointe Park, MI 48230 Phone: 313-417-6100 Fax: 313-417-6107 | |
Kellie Wendzinski, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15200 Kercheval Ave, Grosse Pointe Park, MI 48230 Phone: 947-519-6700 | |
Dr. Phyllis Torres Bessette, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 711 Balfour, Grosse Pointe Park, MI 48230 Phone: 313-823-6447 |