NPI 1003050113 MR. SURESH KUMAR KOMIRISETTY HASLETT MI. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mr. Suresh Kumar Komirisetty - NPI: 1003050113

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MR. SURESH KUMAR KOMIRISETTY
NPI Number: 1003050113
Entity Type Code: Individual (1)
Gender: M
Credentials:
License Number: 5302034766
Business Practice Address: 1705 W Mount Hope Ave
Lansing, MI - 489102660
Business Phone Number: 5173726700
Business Fax Number: 5173720616
Mailing Address: 1795 Nemoke Ct, Apartment # 9
HASLETT
State: MI
Postal Code: 488408679
Phone Number: 2705358708
Fax Number:
NPI Enumeration Date: 04/21/2009
NPI Last Update Date: 04/21/2009
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 183500000X
License Number: 5302034766
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MI
Taxonomy Type: Pharmacy Service Providers
Taxonomy Classification: Pharmacist
Taxonomy Specialization:
Taxonomy Definition:
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.


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