K Kapordelis MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

041225 Issued in MI

Legal business name

K KAPORDELIS MD PLLC

Practice address

21421 Kelly Rd
Eastpointe, MI 48021-3215

Phone

(586) 779-9899

Fax

(586) 773-7800

NPI assigned

Aug 7, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Marilyn Vessella

Title

Ma

Phone

(586) 779-9899

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1154512804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21421 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213215",
            "telephone_number": "586-779-9899",
            "fax_number": "586-773-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21421 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213215",
            "telephone_number": "586-779-9899",
            "fax_number": "586-773-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K KAPORDELIS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "VESSELLA",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "MA",
        "authorized_official_telephone_number": "586-779-9899",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "041225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4690260",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• India Jordan
• Peter Jost, D.D.S.
• Danielle Joyce
• Daryl Kenneth Joyner Jr.
• JRS Psychological Services PC
• Wassan Jawad Kadhim, MD
• Konstantinos Kapordelis, MD
• Jawad Alam Karam
• Kenneth Karamon, RPH
• Robert J Karle, LMSW

• Internal Medicine Physician in Eastpointe, MI
• Providers in Eastpointe, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.