Provider Demographics
NPI:1679987127
Name:DUPATI, ARJUN (MD)
Entity type:Individual
Prefix:DR
First Name:ARJUN
Middle Name:
Last Name:DUPATI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5811 FIRWOOD DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-2510
Mailing Address - Country:US
Mailing Address - Phone:248-840-2188
Mailing Address - Fax:248-294-1388
Practice Address - Street 1:555 BARCLAY CIR STE 170
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-4574
Practice Address - Country:US
Practice Address - Phone:248-436-4888
Practice Address - Fax:248-294-1388
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-12
Last Update Date:2022-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301105283207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology