Prakash SarvepallI is a Internal Medicine Physician in the EDMORE area and has over 35 years of experience. Prakash SarvepallI primary office location is at 1021 E. MAIN STREET and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1989
Prakash SarvepallI is affiliated with ten hospitals in the EDMORE area, including . The NPI number is 1669411310 and the information was updated approximately 12 years ago.
Prakash SarvepallI is part of two medical groups, including GREAT LAKES MEDICAL ASSOCIATES, PC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
License Number | State |
---|---|
4301071121 | MI |
Type/Issuer | Identifier | State |
---|---|---|
BCBSM | 1105900141 | MI |
MOLINA | 4482015 | MI |
MEDICAID | 4482015-10 | MI |
HEALTHPLUS COMMERCIAL | 0983229 | MI |
PHP COMMERCIAL | 200000005866 | MI |
MCLAREN | 1007287 | MI |
MEDICAID | 4606201-10 | MI |
Taxonomy | State | Primary? |
---|---|---|
Internal Medicine Physician - Taxonomy Code 207R00000X | MI | Y |
Participates in PECOS: | YES |
PECOS Individual Enrollment ID: | I20040601000976 |
PECOS Individual PAC ID: | 6002897543 |
Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
Eligible to order/refer Durable Medical Equipment (DME) | Yes |
Eligible to order/refer Home Health Agency (HHA) | Yes |
Eligible to order/refer Power Mobility Devices (PMD) | Yes |