Mune Gowda


Address: 3270 W Big Beaver, Suite 415, Troy, MI 48084-2901

Mune Gowda (NPI# 1023121910, PAC ID# 6608856299) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.

Physician Overview

Nation Provider ID (NPI) 1023121910
PAC ID by PECOS 6608856299
Professional Enrollment ID I20040723000500
Full Name Mune Gowda
Address 3270 W Big Beaver
Suite 415
Troy
MI 48084-2901
Gender M
Credential MD
Graduation Year 1971
Primary Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
Secondary Specialties HAND SURGERY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230019 PROVIDENCE HOSP AND MED CTRS
230165 ST JOHN HOSPITAL AND MEDICAL CENTER

Other Locations

Address Phone Organization
26850 Providence Pkwy, Suite 125, Novi, MI 48374-1253
3270 W Big Beaver, Suite 415, Troy, MI 48084-2901

Organization Information

Office Location

Street Address 3270 W BIG BEAVER
SUITE 415
City TROY
State MI
Zip 48084-2901

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Name Specialty Organization Address
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Kalen J Rimar Urology Michigan Institute of Urology PC 130 Town Ctr Dr, Suite 200, Troy, MI 48084-1744
Michael Ian Ghilezan Radiation Oncology Michigan Institute of Urology PC 130 Town Ctr Dr, Suite 200, Troy, MI 48084-1744
Christopher C Smith Certified Registered Nurse Anesthetist (crna) Michigan Interventional Pain Associates Pllc 130 Town Ctr Dr, Suite 130, Troy, MI 48084-1744
Sharon Denise Minott Anesthesiology Michigan Interventional Pain Associates Pllc 130 Town Ctr Dr, Suite 130, Troy, MI 48084-1744
Molly Rae Varon Occupational Therapy Behavioral Outcomes Management,llc 210 Town Ctr Dr, Troy, MI 48084-1774
Jodie Carley Occupational Therapy Behavioral Outcomes Management,llc 210 Town Ctr Dr, Troy, MI 48084-1774
Courtney Anne Ciotti Nurse Practitioner Michigan Institute of Urology PC 130 Town Ctr Dr, Suite 200, Troy, MI 48084-1774
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Competitor

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City TROY
Zip Code 48084
Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
City + Specialty TROY + PLASTIC AND RECONSTRUCTIVE SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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