Healthcare Provider Details

I. General information

NPI: 1295389294
Provider Name (Legal Business Name): DUPATI GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2019
Last Update Date: 07/03/2020
Certification Date: 07/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 BARCLAY CIR STE 170
ROCHESTER HILLS MI
48307-4574
US

IV. Provider business mailing address

555 BARCLAY CIR STE 170
ROCHESTER HILLS MI
48307-4574
US

V. Phone/Fax

Practice location:
  • Phone: 415-802-1310
  • Fax: 248-294-1388
Mailing address:
  • Phone: 415-802-1310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ARJUN DUPATI
Title or Position: OWNER/MEDICAL DOCTOR
Credential: MD
Phone: 415-802-1310