Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Supriya Raina-Hukku, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1871795815

Dr. Supriya Raina-Hukku, MD is a Pathology in Detroit, Michigan. Graduated from Wayne State University School of Medicine in 2006, 20 years ago. Practices with Henry Ford Pathology, a 45-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois, Michigan, Oregon and Washington.

Years since qualifying
20
Trained at
Wayne State University School of Medicine
Licensed in
IL, MI, OR, WA
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (313) 916-2964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1498 Se Tech Center Pl Ste 240, Vancouver, WA 98683 — (605) 971-3093

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence MD60801236 (WA)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence MD185514 (OR)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 036128898 (IL)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 4301088570 (MI)

Record details

NPI number1871795815
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 1, 2007
Last updated in NPPESMay 6, 2020
Certification dateMay 6, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Also practisesHEMATOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Henry Ford Pathology — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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