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General NPI Number Information
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NPI Number | 1003831173
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Entity Type | Organization
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Legal Business Name | TRICOUNTY HOSPITALISTS, PLLC
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 11800 E 12 MILE RD
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City | WARREN
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State | MI
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Zip | 48093-3472
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Country | US
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Telephone | 586-573-5000
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Fax | 248-265-4082
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Provider Business Mailing Address
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Address Line | 625 PERRIEN PL
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City | GROSSE POINTE WOODS
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State | MI
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Zip | 48236-1132
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Country | US
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Telephone | 313-595-4758
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Fax | 248-265-4082
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Authorized Official
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Title or Position | OWNER
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Name | RAGHU MULPURI
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Credential | M.D.
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Telephone | 313-595-4758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301061786
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 4301061786
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License Number State | MI
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