Organization
TRICOUNTY HOSPITALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAGHU MULPURI M.D. (OWNER)
(313) 595-4758
Entity
Organization
Contact information
Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5000
(248) 265-4082
Mailing address
625 PERRIEN PL, GROSSE POINTE WOODS, MI 48236-1132
(313) 595-4758
(248) 265-4082
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301061786
MI
208M00000X
Hospitalist Physician
Primary
4301061786
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1108205692
BCBSM
MI
05
—
4841598
—
MI
Enumeration date
07/12/2006
Last updated
09/11/2025
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