Pranay Uppuluri, MD | |
1221 Pine Grove Avenue, Port Huron, MI 48061-5011 | |
(810) 987-5000 | |
Not Available |
Full Name | Pranay Uppuluri |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 1221 Pine Grove Avenue, Port Huron, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396991451 | NPI | - | NPPES |
0146631 | Medicaid | OH | |
201320660 | Medicaid | IN | |
1396991451 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 4301108445 (Michigan) | Primary |
Entity Name | University Radiology Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154367803 PECOS PAC ID: 6608868500 Enrollment ID: O20040331001432 |
Entity Name | University Radiology Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154367803 PECOS PAC ID: 6608868500 Enrollment ID: O20040501000035 |
Entity Name | University Radiology At Trinitas Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366526279 PECOS PAC ID: 9133174634 Enrollment ID: O20050317000492 |
Entity Name | Jersey Shore Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538304019 PECOS PAC ID: 1355408212 Enrollment ID: O20090319000362 |
Entity Name | University Radiology-atlantic, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477802064 PECOS PAC ID: 6901059864 Enrollment ID: O20130102000114 |
Entity Name | Summit Radiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073584587 PECOS PAC ID: 0143295410 Enrollment ID: O20151113000741 |
Entity Name | Flemington Radiology Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942816475 PECOS PAC ID: 5294145819 Enrollment ID: O20201110000349 |
Mailing Address | Practice Location Address |
---|---|
Pranay Uppuluri, MD 411 Grand River Ave Ste A, Port Huron, MI 48060-3816 Ph: (810) 985-0029 | Pranay Uppuluri, MD 1221 Pine Grove Avenue, Port Huron, MI 48061-5011 Ph: (810) 987-5000 |
David P Tracy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1530 Pine Grove Ave, Ste 7, Port Huron, MI 48060 Phone: 810-985-0029 Fax: 810-985-0032 | |
Clare A Scheurer Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1530 Pine Grove Ave, Ste 7, Port Huron, MI 48060 Phone: 810-985-0029 Fax: 810-985-0032 | |
Sameh A S A Saif, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-989-3172 | |
Kaneez Batool Shaikh, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1530 Pine Grove Avenue, Suite 7, Port Huron, MI 48060 Phone: 810-985-0029 Fax: 810-985-0032 | |
Kanu B Dalal, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Radiology Dept, Port Huron, MI 48060 Phone: 810-987-5000 Fax: 810-985-0032 | |
Rajeev Srinivasa Aravapalli, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 |