Healthcare Provider Details

I. General information

NPI: 1366825986
Provider Name (Legal Business Name): EAST MICHIGAN HOSPITALISTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2015
Last Update Date: 07/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1217 KEARNEY ST SUITE 2
PORT HURON MI
48060-3571
US

IV. Provider business mailing address

1217 KEARNEY ST SUITE 2
PORT HURON MI
48060-3571
US

V. Phone/Fax

Practice location:
  • Phone: 810-990-8302
  • Fax: 810-990-8402
Mailing address:
  • Phone: 810-990-8302
  • Fax: 810-990-8402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: PONON D KUMAR
Title or Position: PRESIDENT
Credential: MD
Phone: 586-260-9616