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PRAVEEN MUDUMBA
NPI 1184322984
Perfusionist in Plymouth, MI

Active since February 21, 2023
45211 HELM ST STE 110, PLYMOUTH, MI 48170(734) 525-9712 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Praveen Mudumba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRAVEEN MUDUMBA (NPI 1184322984) is an individual perfusionist provider in Plymouth, Michigan and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1184322984
Entity TypeIndividualMale
Primary Taxonomy242T00000X
Provider Legal NamePRAVEEN MUDUMBA
Location Address45211 HELM ST STE 110Plymouth, MI 48170-6023
Mailing Address45211 Helm St Ste 110Plymouth, MI 48170-6023 · (734) 525-9712
Phone(734) 525-9712
Sole ProprietorNo
Enumeration DateFebruary 21, 2023
NPPES CertifiedFebruary 21, 2023
✔ NPI 1184322984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPerfusionistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code242T00000X
Definition
A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.
45211 HELM ST STE 110, Plymouth, MI 48170
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LORNE WANDELL
Perfusionist
45211 HELM ST STE 110
PLYMOUTH, MI 48170
Wayne County (734) 525-9712
KYLEE OVERTON
Specialist/Technologist, Other
45211 HELM ST STE 110
PLYMOUTH, MI 48170
Wayne County (734) 525-9712
RACHEL HAPP
Perfusionist
45211 HELM ST STE 110
PLYMOUTH, MI 48170
Wayne County (734) 525-9712
ERIC CHAPMAN
Perfusionist
45211 HELM ST STE 110
PLYMOUTH, MI 48170
Wayne County (734) 525-9712
COLE OLSON
Specialist/Technologist, Other
45211 HELM ST STE 110
PLYMOUTH, MI 48170
Wayne County (734) 525-9712
BRENT TRUDELL
Perfusionist
45211 HELM ST STE 110
PLYMOUTH, MI 48170
Wayne County (173) 452-5971
CHARLES VAN PHAM
Perfusionist
45211 HELM ST STE 110
PLYMOUTH, MI 48170
Wayne County (173) 452-5971
DEBORAH CARPELLOTTI
Perfusionist
45211 HELM ST STE 110
PLYMOUTH, MI 48170
Wayne County (734) 525-9712

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Praveen Mudumba's NPI number?

The NPI number for Praveen Mudumba is 1184322984. It was assigned to this individual provider in the NPPES registry on February 21, 2023.

Where is Praveen Mudumba located?

Praveen Mudumba practices at 45211 Helm St Ste 110, Plymouth, MI 48170. The listed phone number is (734) 525-9712.

What is Praveen Mudumba's specialty?

The primary specialty registered for this NPI is Perfusionist with taxonomy code 242T00000X.

When was this NPI record last updated?

The NPPES record for Praveen Mudumba was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.