NPI Code Detail JSON Logo

1003831173 NPI number — TRICOUNTY HOSPITALISTS, PLLC

NPI Number: 1003831173
Health Care Provider/Practitioner: TRICOUNTY HOSPITALISTS, PLLC

Information about “1003831173” NPI (TRICOUNTY HOSPITALISTS, PLLC) exists in 1003831173 in HTML format HTML  |  1003831173 in plain Text format TXT  |  1003831173 in PDF (Portable Document Format) PDF  |  1003831173 in an XML format XML  formats.

NPI Number : 1003831173 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003831173",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TRICOUNTY HOSPITALISTS, PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "625 PERRIEN PL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GROSSE POINTE WOODS",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48236-1132",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "313-595-4758",
    "MailingAddressFaxNumber": "248-265-4082",
    "FirstLinePracticeLocationAddress": "11800 E 12 MILE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WARREN",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48093-3472",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "586-573-5000",
    "PracticeLocationAddressFaxNumber": "248-265-4082",
    "EnumerationDate": "07/12/2006",
    "LastUpdateDate": "09/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MULPURI",
    "AuthorizedOfficialFirstName": "RAGHU",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "313-595-4758",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "4301061786",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208M00000X",
          "TaxonomyName": "Hospitalist Physician",
          "LicenseNumber": "4301061786",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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