| Vijay Naraparaju Sole Mbr | |
|
1375 Flushing Rd Flushing MI 48433-2262 | |
| (810) 659-2233 | |
| (810) 659-2246 |
| Full Name | Vijay Naraparaju Sole Mbr |
|---|---|
| Speciality | Internal Medicine |
| Location | 1375 Flushing Rd, Flushing, Michigan |
| Authorized Official Name and Position | Marilyn Acheff (OFFICE MANAGER) |
| Authorized Official Contact | 8106592233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vijay Naraparaju Sole Mbr 1375 Flushing Rd Flushing MI 48433-2262 Ph: (810) 659-2233 | Vijay Naraparaju Sole Mbr 1375 Flushing Rd Flushing MI 48433-2262 Ph: (810) 659-2233 |
| NPI Number | 1760884449 |
|---|---|
| Provider Enumeration Date | 09/24/2014 |
| Last Update Date | 05/16/2023 |
| Certification Date | 05/16/2023 |
| Medicare PECOS PAC ID | 2961724489 |
|---|---|
| Medicare Enrollment ID | O20141211000255 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760884449 | NPI | - | NPPES |
| 5212865 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301081972 (Michigan) | Primary |
| 208000000X | Pediatrics | 4301081972 (Michigan) | Secondary |
| Provider Name | Vijay Naraparaju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942400973 PECOS PAC ID: 6002900958 Enrollment ID: I20070921000762 |
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