| East Michigan Hospitalists Pllc | |
|
1217 Kearney St Suite 2 Port Huron MI 48060-3571 | |
| (810) 990-8302 | |
| (810) 990-8402 |
| Full Name | East Michigan Hospitalists Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1217 Kearney St, Port Huron, Michigan |
| Authorized Official Name and Position | Ponon D Kumar (PRESIDENT) |
| Authorized Official Contact | 5862609616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Michigan Hospitalists Pllc 1217 Kearney St Suite 2 Port Huron MI 48060-3571 Ph: (810) 990-8302 | East Michigan Hospitalists Pllc 1217 Kearney St Suite 2 Port Huron MI 48060-3571 Ph: (810) 990-8302 |
| NPI Number | 1366825986 |
|---|---|
| Provider Enumeration Date | 07/01/2015 |
| Last Update Date | 07/01/2015 |
| Medicare PECOS PAC ID | 6800199621 |
|---|---|
| Medicare Enrollment ID | O20160127002445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366825986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Seemab G Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851485882 PECOS PAC ID: 4587611173 Enrollment ID: I20050406000083 |
| Provider Name | Valerie Wetzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982631008 PECOS PAC ID: 7719983774 Enrollment ID: I20061013000494 |
| Provider Name | Ponon Dileep Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649246661 PECOS PAC ID: 6103907712 Enrollment ID: I20100717000027 |
| Provider Name | Kamalakar C Nerusu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609042183 PECOS PAC ID: 0648467522 Enrollment ID: I20101203000825 |
| Provider Name | Anupama Devara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831365675 PECOS PAC ID: 5496928723 Enrollment ID: I20111102000664 |
| Provider Name | Anmar E Sheet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831415116 PECOS PAC ID: 8224282587 Enrollment ID: I20130214000229 |
| Provider Name | Viswanadh R Vegesna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417280017 PECOS PAC ID: 3678726684 Enrollment ID: I20130402000013 |
| Provider Name | Moiz Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174803357 PECOS PAC ID: 8123245792 Enrollment ID: I20140806000922 |
| Provider Name | Vamsi Karthik Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689938243 PECOS PAC ID: 8921391228 Enrollment ID: I20160725001364 |
| Provider Name | Imran Hayat Tarrar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639510662 PECOS PAC ID: 4880987759 Enrollment ID: I20160729001663 |
| Provider Name | Jessica L Heaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083193783 PECOS PAC ID: 2163773698 Enrollment ID: I20180924000846 |
| Provider Name | Aaron T Misner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356812697 PECOS PAC ID: 6406188093 Enrollment ID: I20191031001388 |
| Provider Name | Sophie Marie Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811561574 PECOS PAC ID: 9830584176 Enrollment ID: I20220323000893 |
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