Organization
DETROIT MEDICAL SERVICE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UMA GORREPATI MD (OWNER/PHYSICIAN)
(313) 831-7005
Entity
Organization
Contact information
Practice address
4160 JOHN R ST, SUITE 730, DETROIT, MI 48201-2020
(313) 831-7005
(313) 831-7002
Mailing address
4160 JOHN R ST, SUITE 730, DETROIT, MI 48201-2020
(313) 831-7005
(313) 831-7002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301053629
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1108298481
BCBS
MI
01
—
110H2322130
BC GROUP
MI
01
—
110H242220
BC GROUP
MI
01
—
137660
CARE CHOICES
MI
05
—
1770524639
—
MI
01
—
4582263
AETNA
MI
01
—
8635261
CIGNA
MI
01
—
DR6312
RAILROAD MEDICARE GROUP
MI
01
—
E93374
HAP
MI
Enumeration date
06/09/2006
Last updated
09/19/2011
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