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General NPI Number Information
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NPI Number | 1427840586
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Entity Type | Organization
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Legal Business Name | INHOSPITAL PHYSICIANS MICHIGAN PLLC
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 2601 ELECTRIC AVE
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City | PORT HURON
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State | MI
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Zip | 48060-6587
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Country | US
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Telephone | 484-965-9566
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Fax | 484-965-9567
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Provider Business Mailing Address
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Address Line | 350 SENTRY PARKWAY, BLDG- 660, STE-102
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City | BLUE BELL
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State | PA
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Zip | 19422
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Country | US
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Telephone | 484-965-9566
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Fax | 484-965-9566
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Authorized Official
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Title or Position | CO-CEO
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Name | DR. CAREY VEMULA WILLIAM
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Credential | MD
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Telephone | 856-294-8435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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