Mune Gowda MD PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MG037325 Issued in MI

Legal business name

MUNE GOWDA MD PLLC

Practice address

26850 Providence Pkwy
Suite 125
Novi, MI 48374-1213

Phone

(248) 305-8400

NPI assigned

Jun 23, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mune Gowda, M.D.NPI 1023121910

Title

Owner

Phone

(248) 305-8400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mune Gowda, MD

  • Surgery Physician
  • Novi, MI
  • NPI 1023121910
  Medicare reassignment NPD Authorized official
• Jeffrey Thomas Desano II, D.O.

  • Plastic Surgery Physician
  • West Bloomfield, MI
  • NPI 1891108759
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1033347646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY STE 125",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741253",
            "telephone_number": "248-305-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY",
            "address_2": "SUITE 125",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741213",
            "telephone_number": "248-305-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNE GOWDA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "GOWDA",
        "authorized_official_first_name": "MUNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-305-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "MG037325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Rose Mulder
• Andrea Mullen
• Ericka Leigh Mullinix
• Fri Muma
• Caroline Mumira
• Chongo Mungandi
• Carlee Ann Munger
• Jesus Munguia Muniz
• Malyna Muniz
• Michaela Muniz

• Specialist in Novi, MI
• Providers in Novi, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.