Individual
DAVID GULAPA PAJE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301059840
MI
2083C0008X
Clinical Informatics Physician
4301059840
MI
208M00000X
Hospitalist Physician
4301059840
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
316379910
—
MI
01
—
700H262220
BLUE CROSS-BLUE CROSS
—
01
—
DP059840
CHAMPUS-CHAMPUS
—
Enumeration date
12/01/2006
Last updated
06/10/2019
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