PRANAY UPPULURI (NPI# 1396991451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396991451 |
| Entity Type | Individual |
| Full Name | PRANAY UPPULURI |
| Credential | M.D. |
| Practice Address |
1221 Pine Grove Avenue Port Huron MI 48061-5011 |
| Mailing Address |
411 Grand River Ave Ste A Port Huron MI 48060-3816 |
| Practice Telephone | 8109875000 |
| Mailing Telephone | 8109850029 |
| Mailing Fax Number | 8109850032 |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2016-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301108445 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0146631 | 05 | |
| MI | 1396991451 | 05 | |
| IN | 201320660 | 05 |
| Street Address |
1221 PINE GROVE AVENUE |
| City | PORT HURON |
| State | MI |
| Zip Code | 48061-5011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063581353 | Tri Hospital Mri Center | Clinic/Center | 1221 Pine Grove Avenue, Port Huron, MI 48060 | 2006-11-08 |
| 1457872541 | Christina Bantle | Nurse Practitioner | 1221 Pine Grove Avenue, Emergency Medicine Department, Port Huron, MI 48060-1111 | 2017-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972662807 | Safe Horizons | Case Management | 1840 Grant Place, Port Huron, MI 48061 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1134734346 | Jaylyn Ariana Feeder | Behavior Technician | 722 Johnstone St, Port Huron, MI 48060-6355 | 2020-09-14 |
| 1386259737 | Nicole Michelle Szymkowski | Massage Therapist | 3019 Barlow St, Port Huron, MI 48060-6952 | 2020-09-12 |
| 1902415193 | Brian G Gilbert | Nurse Practitioner | 1217 Kearney St Ste 1, Port Huron, MI 48060-3571 | 2020-07-23 |
| 1689296550 | The Council On Aging, Inc., Serving St. Clair County | In Home Supportive Care | 600 Grand River Ave, Port Huron, MI 48060-3817 | 2020-05-13 |
| 1508487489 | Debra Lynn Wine | Social Worker | 309 Huron Ave, Port Huron, MI 48060-3869 | 2020-05-01 |
| 1902430291 | Marissa Holloman | Social Worker | 222 Huron Ave, Port Huron, MI 48060-3822 | 2020-02-26 |
| 1518598069 | Seaway Dental Group Pllc | Dentist | 2435 Military St Bldg 4, Port Huron, MI 48060-6664 | 2020-02-03 |
| 1679103659 | Daniel Jeffery Rambo | Chore Provider | 2876 Henry St Unit 2, Port Huron, MI 48060-7365 | 2020-01-18 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| Find all providers in PORT HURON | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144313370 | Kaneez Batool Shaikh | Radiology | 1530 Pine Grove Avenue, Suite 7, Port Huron, MI 48060 | 2006-10-02 |
| 1144628009 | Orthopedic Associates of Port Huron, PC | Radiology | 940 River Centre Dr, Port Huron, MI 48060-4463 | 2014-12-09 |
| 1578819850 | Mawan Shuayto Md PC | Radiology | 1201 Stone St, Suite 8, Port Huron, MI 48060-3563 | 2012-07-24 |
| 1821392820 | Rishi Duggal | Radiology | 1530 Pine Grove Ave, Suite 7, Port Huron, MI 48060-3370 | 2011-01-05 |
| 1801967583 | X-ray Associates of Port Huron PC | Radiology | 1530 Pine Grove Ave, Ste 7, Port Huron, MI 48060 | 2006-11-13 |
| 1790797090 | Jose A Carrion | Radiology | 1530 Pine Grove Ave, Ste 7, Port Huron, MI 48060 | 2006-08-13 |
| 1861404618 | John J Ference | Radiology | 1530 Pine Grove Ave, Suite 7, Port Huron, MI 48060 | 2006-08-12 |
| 1205848058 | Frederick W Coop | Radiology | 1530 Pine Grove Ave, Suite 7, Port Huron, MI 48060 | 2006-08-12 |
| 1033121892 | David P Tracy | Radiology | 1530 Pine Grove Ave, Ste 7, Port Huron, MI 48060 | 2006-08-12 |
| 1942212709 | Leopold M Fregoli | Radiology | 1530 Pine Grove Ave, Ste 7, Port Huron, MI 48060 | 2006-08-12 |
| Find all providers in PORT HURON | ||||
| City | PORT HURON |
| Zip Code | 48061 |
Please comment or provide details below to improve the information on PRANAY UPPULURI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.