MADAN MOHAN REDDY PALURU


Address: 22250 Providence Drive, Suite #703a, Southfield, MI 48075-4818
Phone: 2488495862

MADAN MOHAN REDDY PALURU (NPI# 1902460132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902460132
Entity Type Individual
Full Name MADAN MOHAN REDDY PALURU
Credential M.D.
Practice Address 22250 Providence Drive
Suite #703a
Southfield
MI 48075-4818
Practice Telephone 2488495862
Practice Fax Number 2488498117
Mailing Telephone 2488495862
Mailing Fax Number 2488498117
Enumeration Date 2019-04-23
Last Update Date 2019-06-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 4351044667 MI Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program MI Student, Health Care

Office Location

Street Address 22250 PROVIDENCE DRIVE
SUITE #703A
City SOUTHFIELD
State MI
Zip Code 48075-4818

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477557734 Michelle Baker Physician Assistant 22250 Providence Drive, 5th Flooor, Southfield, MI 48075 2005-06-02
1154949535 Cory Xavier Cole Internal Medicine 22250 Providence Drive, Academic Im Pmb Suite #301, Southfield, MI 48075 2020-07-11
1235754813 Harvey Sekhon Student in an Organized Health Care Education/Training Program 22250 Providence Drive, 3 Pmb #301, Southfield, MI 48075-4818 2020-06-10
1730703810 Anudeep Kommineni Internal Medicine 22250 Providence Drive, 3pmb Suite 301, Southfield, MI 48075 2020-06-03
1144844564 Elton Yichao Li Student in an Organized Health Care Education/Training Program 22250 Providence Drive, Suite #557, Southfield, MI 48075-4818 2020-06-01
1699331496 Alexander Zayid Student in an Organized Health Care Education/Training Program 22250 Providence Drive, Suite #5577, Southfield, MI 48075-4818 2019-05-16
1528624798 Karan Singh Sekhon Student in an Organized Health Care Education/Training Program 22250 Providence Drive, Suite #557, Southfield, MI 48075-4818 2019-05-14
1164087888 Kathleen Jeanne Marie Harnois Student in an Organized Health Care Education/Training Program 22250 Providence Drive, Suite #703a, Southfield, MI 48075-4818 2019-05-08
1912561119 Elise Jongeun Yoon Student in an Organized Health Care Education/Training Program 22250 Providence Drive, Suite #601, Southfield, MI 48075-4818 2019-04-24
1497319511 Dexter Tyler Powell Student in an Organized Health Care Education/Training Program 22250 Providence Drive, Suite #401, Southfield, MI 48075-4818 2019-04-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851900054 K&b Medical Wigs, LLC Durable Medical Equipment & Medical Supplies 16250 Northland Dr. Ste 221, Southfield, MI 48075 2020-07-24
1790300390 Julian Jeberaeel Radiology 2250 Providence, Southfield, MI 48075 2020-06-10
1265056410 Husein Yusuf Husein Podiatrist Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 2020-06-03
1952945420 Paris Straughter Nurse Practitioner 18438 Onyx St, Southfield, MI 48075 2019-10-29
1811467657 Medicine Man Medical, Pllc Physical Medicine & Rehabilitation 25130 Southfield Road, Suite #210, Southfield, MI 48075 2018-12-04
1447725528 Rommel Ramos Perez Physical Therapist 26017 Greenfield Rd., Southfield, MI 48075 2018-10-04
1073009627 Jacqueline Venora Goodgame Licensed Practical Nurse 4000 Town Ctr, Southfield, MI 48075 2018-07-06
1043712532 Hollie Marie Maltese Physical Therapy Assistant 22255 Greenfiled 118, Southfield, MI 48075 2018-03-01
1932601481 Katie Marie Mccormack Occupational Therapist 16001 West Nine Mile Rd., Southfield, MI 48075 2018-03-01
1801304241 Absolute Hc LLC Physical Therapist 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 2018-01-19
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932724101 Alec Jerry Raniwsky Surgery 22250 Providence Drive 7pmb Suite #703a, Southfield, MI 48075-4825 2020-06-12
1881898716 Lubna Noreen Suleman Surgery 16001 W Nine Mile Rd, Southfield, MI 48075 2007-06-13
1336358522 Jerome William Cooper Surgery 23625 Northwestern Hwy, Southfield, MI 48075-7711 2007-05-22
1154391381 Steven Hendrick Surgery 29080 Inkster Rd Ste 250, Southfield, MI 48034-1057 2006-01-23
1326036849 Thomas M Flake Jr. Surgery 23077 Greenfield Rd, Suite 445, Southfield, MI 48075-3709 2005-10-10
1063037877 Carly Beth Young Surgery 22250 Providence Dr Ste 703a, Southfield, MI 48075-6215 2020-06-08
1861016131 Destiny Aighobahi Surgery 16001 W 9 Mile Rd Ofc, Southfield, MI 48075-4818 2020-06-03
1386268035 Denas Andrijauskis Surgery 22250 Providence Dr, Southfield, MI 48075-4825 2020-05-28
1427611748 Keith Peter Ameyaw Surgery 16001 W 9 Mile Rd Ofc, Southfield, MI 48075-4818 2019-04-22
1063961894 Mustafa Hares, M.d. P.C. Surgery 22401 Foster Winter Dr, Southfield, MI 48075-3724 2016-09-21
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Competitor

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City SOUTHFIELD
Zip Code 48075

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Dataset Information

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.

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