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NPI Code Detail

MEDICARE: ERIC ERRAMPALLI MD

MEDICARE:   ERIC  ERRAMPALLI  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0204XVascular & Interventional Radiology Physician4351054729MI

General Provider Information

NPI Number : 1356131726
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC ERRAMPALLI MD
Provider Business Mailing Address
First Line : 200 JEFFERSON AVE SE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49503-4502
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1740 W TAYLOR ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-7232
Country : US
Telephone Number : 312-355-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2025
Last Update Date : 06/10/2026

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