DILIP SAMARAPUNGAVAN (NPI# 1689635955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689635955 |
| Entity Type | Individual |
| Full Name | DILIP SAMARAPUNGAVAN |
| Credential | MD |
| Practice Address |
3535 W 13 Mile Rd Ste 644 Royal Oak MI 48073-6770 |
| Mailing Address |
26901 Beaumont Blvd Ste 3d Southfield MI 48033-3849 |
| Practice Telephone | 2485511010 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
4301065266 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | BCBSM | 01 |
| MI | 4415344 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3601 W 13 Mile Rd, Royal Oak, MI 480736712 | 2484232481 |
| Street Address |
3535 W 13 MILE RD STE 644 |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-6770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952945594 | Raymond Bialokur | Nurse Practitioner | 3535 W 13 Mile Rd Ste 644, Royal Oak, MI 48073-6770 | 2019-11-06 |
| 1902192628 | Krishna G Putchakayala | Surgery | 3535 W 13 Mile Rd Ste 644, Royal Oak, MI 48073-6770 | 2011-06-21 |
| 1689985079 | Raghavesh Pullalarevu | Internal Medicine | 3535 W 13 Mile Rd Ste 644, Beaumont Multi-organ Transplant Clinic, Royal Oak, MI 48073-6770 | 2010-06-30 |
| 1508067786 | Pritika Shrivastava | Internal Medicine | 3535 W 13 Mile Rd Ste 644, Beaumont Multi-organ Transplant Clinic, Royal Oak, MI 48073-6770 | 2007-05-29 |
| 1780721688 | Damanpreet Singh Bedi | Transplant Surgery | 3535 W 13 Mile Rd Ste 644, Royal Oak, MI 48073-6770 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740823459 | Critical Care Nephrology, PC | Internal Medicine | 333 E Parent Ave, Royal Oak, MI 48067-3748 | 2019-10-25 |
| 1467629493 | Saimabanu S Mansuri | Internal Medicine | 3535 W 13 Mile Rd # 248, Beaumont Chronic Disease Management Clinic, Royal Oak, MI 48073-6770 | 2008-05-08 |
| 1396768214 | Gampala Harish Reddy | Internal Medicine | 3535 W. 13 Mile Road, Ste. 644, Royal Oak, MI 48073 | 2006-07-25 |
| 1922052513 | Vamshi Krishna Garlapaty | Internal Medicine | 3535 West 13 Mile Road, Suite 247, Royal Oak, MI 48309-0919 | 2006-05-19 |
| 1497721401 | Paul S Kellerman | Internal Medicine | 3535 W 13 Mile Rd Ste 248, Beaumont Chronic Disease Management Clinic, Royal Oak, MI 48073-6770 | 2006-02-28 |
| 1366412066 | Jerry A Dancik | Internal Medicine | 32121 Woodward Ave 200, Royal Oak, MI 48073-0999 | 2006-01-25 |
| 1164734596 | Renal Consultant PC | Internal Medicine | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2010-07-14 |
| 1396971263 | Tavis Andrew Dancik | Internal Medicine | 32121 Woodward Ave, Suite 200, Royal Oak, MI 48073-6237 | 2009-06-05 |
| 1205999794 | Lisa Joanne Cohen | Internal Medicine | 3535 W 13 Mile Rd Ste 248, Beaumnot Chronic Disease Clinic, Royal Oak, MI 48073-6770 | 2006-12-18 |
| 1972549400 | David Matthew Weinstein | Internal Medicine | 3535 W 13 Mile Rd, Suite 247, Royal Oak, MI 48073-6770 | 2006-06-22 |
| Find all providers in ROYAL OAK | ||||
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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.