Kasturi B Puri, M.D

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

43010333101 Issued in MI

Practice address

1450 Covington Rd
Bloomfield Hills, MI 48301-2371

Phone

(248) 642-5469

NPI assigned

Mar 6, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1396915351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 COVINGTON RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483012371",
            "telephone_number": "248-642-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 COVINGTON RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483012371",
            "telephone_number": "248-642-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURI",
        "first_name": "KASTURI",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "43010333101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prosperity Health PC
• Lisa Provenzano, N.P.
• Thomas Michael Pullman, DR OF DENTAL SURGERY
• Simi Pullukat, M.D.
• Pure Joy Pediatrics, P.C.
• Purple Orchid, LLC
• Louis George Putz, DO
• Quality Medical Group PLC
• Deepika Quarker, RN
• Holly Quinn

• Physical Medicine & Rehabilitation Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.