IndividualActive
Pradeep Nagaraju, MD
NPI 1285615583 · Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician · Royal Oak, MI
Provider details
- NPI number
- 1285615583
- Entity type
- Individual
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301083042 (MI)
Specialties & taxonomies
- Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianPrimary2088F0040XLicense 4301083042 (MI)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3535 W 13 Mile Rd
Suite 407
Royal Oak, MI 48073-6770
Phone: (248) 551-0638
Fax: (248) 355-1449
Approximate (ZIP-level) locationGet directions
Mailing address
20952 E 12 Mile Rd
Saint Clair Shores, MI 48081-3200
Registry dates
- Enumerated
- 2005-11-14
- Last updated
- 2014-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.