Provider Demographics
NPI:1467641951
Name:TAMPI, USHA R (MD)
Entity Type:Individual
Prefix:
First Name:USHA
Middle Name:R
Last Name:TAMPI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:730 N MACOMB ST
Mailing Address - Street 2:SUITE 229
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48162-2900
Mailing Address - Country:US
Mailing Address - Phone:734-243-4220
Mailing Address - Fax:734-457-3131
Practice Address - Street 1:730 N MACOMB ST
Practice Address - Street 2:SUITE 229
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48162-2900
Practice Address - Country:US
Practice Address - Phone:734-243-4220
Practice Address - Fax:734-457-3131
Is Sole Proprietor?:No
Enumeration Date:2007-10-19
Last Update Date:2008-03-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI039683207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P50350001Medicare PIN