Individual
DR. KEMPAIAH A GOWDA
Active
Individual
DR. KEMPAIAH A GOWDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
4301037652
MI
207RC0000X
Cardiovascular Disease Physician
Primary
4301037654
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0608201051
BLUE CROSS BLUE SHIELD
MI
01
—
0820105
BLUE CARE NETWORK
MI
01
—
110007760
RR MEDICARE
MI
01
—
11277306
CAQH
MI
05
—
1623343
—
MI
01
—
1730133265
BCBS TYPE 1 NPI #
MI
01
—
4301037652
STATE LICENSE #
MI
01
—
B43075
HAP
MI
Enumeration date
05/20/2006
Last updated
03/30/2017
Update your record
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