Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Okemos Primary Care Physicians PC

Organization Primary Care Clinic/Center · NPI 1104079268

Okemos Primary Care Physicians PC is a Primary Care Clinic/Center in Okemos, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2104 Jolly Rd Ste 290
Okemos, MI 48864-6038
Phone: (517) 708-7283
Fax: (517) 708-7294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 4301087786 (MI)

Record details

NPI number1104079268
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sudha Yenumula — President And Ceo · (517) 708-7283
NPI enumeratedNovember 2, 2008
Last updated in NPPESMay 28, 2009
Mailing address2104 Jolly Rd, Suite 290, Okemos, MI 48864-6038

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