Healthcare Provider Details

I. General information

NPI: 1427840586
Provider Name (Legal Business Name): INHOSPITAL PHYSICIANS MICHIGAN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2025
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 ELECTRIC AVE
PORT HURON MI
48060-6587
US

IV. Provider business mailing address

350 SENTRY PARKWAY, BLDG- 660, STE-102
BLUE BELL PA
19422
US

V. Phone/Fax

Practice location:
  • Phone: 484-965-9566
  • Fax: 484-965-9567
Mailing address:
  • Phone: 484-965-9566
  • Fax: 484-965-9566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CAREY VEMULA WILLIAM
Title or Position: CO-CEO
Credential: MD
Phone: 856-294-8435