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DR. PAVAN KUMAR GORUKANTI M.D.
NPI 1629208392
Internal Medicine in Harvey, MI

Active since July 16, 2009
170 BAYOU ST, HARVEY, MI 49855(517) 974-8055(517) 432-3145 Get Directions Write a Review

NPPES record last updated: May 30, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 30, 2017, Aug 8, 2016 (2 updates tracked since 2016).

About Dr. Pavan Kumar Gorukanti M.d. NPPES

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

DR. PAVAN KUMAR GORUKANTI M.D. (NPI 1629208392) is an individual internal medicine provider in Harvey, Michigan, licensed in Michigan (4301094183) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1629208392
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PAVAN KUMAR GORUKANTICredential: M.D.
Location Address170 BAYOU STHarvey, MI 49855-9101
Mailing Address1414 W Fair Ave, Ste 211Marquette, MI 49855-5406 · (906) 225-3912 · Fax (906) 225-7538
Phone(517) 974-8055
Fax(517) 432-3145
Sole ProprietorNo
Enumeration DateJuly 16, 2009
Last NPPES UpdateMay 30, 20172 updates tracked since enumeration
✔ NPI 1629208392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301094183
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
170 BAYOU ST, Harvey, MI 49855
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Other Identifiers 1

Medicaid1629208392MI

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 Pavan Gorukanti's NPI number?

The NPI number for Pavan Gorukanti is 1629208392. It was assigned to this individual provider in the NPPES registry on July 16, 2009.

Where is Pavan Gorukanti located?

Pavan Gorukanti practices at 170 Bayou St, Harvey, MI 49855. The listed phone number is (517) 974-8055.

What is Pavan Gorukanti's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Pavan Gorukanti was last updated on May 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.