MR. PRAVIN P PURI (NPI# 1346224250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346224250 |
| Entity Type | Individual |
| Full Name | MR. PRAVIN P PURI |
| Credential | MD |
| Practice Address |
1080 Kirts Blvd Suite 700 Troy MI 48084-4881 |
| Practice Telephone | 2483622300 |
| Practice Fax Number | 2483625272 |
| Mailing Telephone | 2483622300 |
| Mailing Fax Number | 2483625272 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2011-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
4301059966 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4219899 | 05 |
| Street Address |
1080 KIRTS BLVD SUITE 700 |
| City | TROY |
| State | MI |
| Zip Code | 48084-4881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164414074 | Michael S Meininger Md PC | Surgery | 1080 Kirts Blvd, Suite 700, Troy, MI 48084-4881 | 2005-08-17 |
| 1396288031 | Wellness Medical P.C. D/b/a Somerset Regenerative Medicine | Physical Medicine & Rehabilitation | 1080 Kirts Blvd, Suite 700, Troy, MI 48084-4881 | 2016-11-29 |
| 1750720801 | Andrew Todd Jones | Counselor | 1080 Kirts Blvd, Troy, MI 48084-4881 | 2013-06-21 |
| 1063769206 | Michelle Maree Murtagh-alexander | Counselor | 1080 Kirts Blvd, Suite 100, Troy, MI 48084-4881 | 2012-08-07 |
| 1760678635 | Pravin P Puri Md PC | Surgery | 1080 Kirts Blvd, Ste 700, Troy, MI 48084-4881 | 2007-09-24 |
| 1619163748 | Andrew K Gavagan Md PC | Surgery | 1080 Kirts Blvd, Ste 700, Troy, MI 48084-4881 | 2007-09-21 |
| 1548456668 | Michael J Busuito Md PC | Surgery | 1080 Kirts Blvd, Ste 700, Troy, MI 48084-4881 | 2007-09-21 |
| 1396868063 | Sharon Nell Rudy | Counselor | 1080 Kirts Blvd, Suite 100, Troy, MI 48084-4881 | 2007-04-09 |
| 1689711178 | Sharon Lee Scott | Counselor | 1080 Kirts Blvd, Troy, MI 48084-4881 | 2007-01-31 |
| 1619034865 | Zakaria & Zakaria PC | Pediatrics | 1080 Kirts Blvd, Suite #400, Troy, MI 48084-4881 | 2007-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
| 1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
| 1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
| 1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
| 1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
| 1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
| 1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
| 1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
| 1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
| 1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
| Find all providers in zip 48084 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164414074 | Michael S Meininger Md PC | Surgery | 1080 Kirts Blvd, Suite 700, Troy, MI 48084-4881 | 2005-08-17 |
| 1669712444 | Nabeel A Khan Md PC | Surgery | 201 W Big Beaver Rd, Ste 1130, Troy, MI 48084-4152 | 2013-02-15 |
| 1922277425 | Youn Plastic Surgery Pllc | Surgery | 755 W Big Beaver Rd, Suite 1200, Troy, MI 48084-4900 | 2008-02-28 |
| 1760678635 | Pravin P Puri Md PC | Surgery | 1080 Kirts Blvd, Ste 700, Troy, MI 48084-4881 | 2007-09-24 |
| 1619163748 | Andrew K Gavagan Md PC | Surgery | 1080 Kirts Blvd, Ste 700, Troy, MI 48084-4881 | 2007-09-21 |
| 1548456668 | Michael J Busuito Md PC | Surgery | 1080 Kirts Blvd, Ste 700, Troy, MI 48084-4881 | 2007-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629528765 | Paragon Health, P.C. | Surgery | 8175 Creekside Dr Ste 100, Portage, MI 49024-5370 | 2016-10-13 |
| 1487091989 | Trevor K O'brien | Surgery | 4110 Copper Ridge Dr Ste 242, Traverse City, MI 49684-6721 | 2013-05-24 |
| 1851689525 | Robert Moore Oneal | Surgery | 501 Onondaga St, Ann Arbor, MI 48104-2606 | 2011-07-15 |
| 1902072952 | Michigan Cosmetic & Reconstructive Surgery Pllc | Surgery | 29110 Inkster Rd, Ste 250, Southfield, MI 48034-1098 | 2008-04-30 |
| 1518184175 | Halil Ibrahim Canter | Surgery | 16001 West 9 Mile Rd., 3 Fl Fischer Ctr Providence Hosp. Craniofacial Inst., Southfield, MI 48075 | 2007-04-18 |
| 1285756148 | Andrea Emma Van Pelt | Surgery | 4070 Lake Drive Se, Suite 202, Grand Rapids, MI 49546 | 2007-04-04 |
| 1083741367 | Kenneth Wolf | Surgery | 1990 Union Lake Rd Ste 200, Commerce Township, MI 48382-2200 | 2007-02-27 |
| 1972630259 | Lauran Bryan | Surgery | 26711 Woodward Ave Ste Ll1, Huntington Woods, MI 48070-1370 | 2007-02-27 |
| 1689761439 | John J Iacobucci | Surgery | 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503-2537 | 2006-10-05 |
| 1710996319 | Ewa D Komorowska-timek | Surgery | 3855 Burton St Se Ste A, Grand Rapids, MI 49546-5816 | 2006-08-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.