1295389294 NPI number — DUPATI GROUP PLLC

Table of content: DR. JOHN HIRAM SCHWARTZ D.O. (NPI 1790123974)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295389294 NPI number — DUPATI GROUP PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DUPATI GROUP PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
APOLLO DERMATOLOGY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295389294
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/03/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
555 BARCLAY CIR STE 170
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROCHESTER HILLS
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48307-4574
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
415-802-1310
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
555 BARCLAY CIR STE 170
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCHESTER HILLS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48307-4574
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-802-1310
Provider Business Practice Location Address Fax Number:
248-294-1388
Provider Enumeration Date:
07/29/2019

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
DUPATI
Authorized Official First Name:
ARJUN
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/MEDICAL DOCTOR
Authorized Official Telephone Number:
415-802-1310

Provider Taxonomy Codes

  • Taxonomy code: 207N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)