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

Pavan Chanamolu

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194321901

Pavan Chanamolu is a Physician Assistant in Mount Pleasant, Michigan. Qualified in 2021, 5 years ago. Practices with Mymichigan Medical Center Midland, a 509-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
5
In the registry since
2020
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Practice location Address checks out

1280 E Campus Dr
Mount Pleasant, MI 48859-4484
Phone: (989) 774-2478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1730 Somerset Dr, Mount Pleasant, MI 48858-4484 — (248) 633-6054

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1194321901
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 7, 2020
Last updated in NPPESDecember 7, 2020
Certification dateDecember 7, 2020
Mailing address1730 Somerset Dr, Mount Pleasant, MI 48858-4484

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mymichigan Medical Center Midland — 509 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Mount Pleasant