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

Raghavesh Pullalarevu, MD

Individual provider Internal Medicine Physician · NPI 1689985079

Raghavesh Pullalarevu, MD is a Nephrology in Royal Oak, Michigan. Qualified in 2006, 20 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan and Pennsylvania.

Years since qualifying
20
Licensed in
MI, PA
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3535 W 13 Mile Rd Ste 644 Beaumont Multi-Organ Transplant Clinic
Royal Oak, MI 48073-6770
Phone: (800) 253-5592
Fax: (248) 551-2125
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 4301110236 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence MT 198189 (PA)

Record details

NPI number1689985079
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2010
Last updated in NPPESJune 23, 2016
Mailing address130 Town Center Dr Ste 203, Beaumont Medical Staff Affairs, Troy, MI 48084-1744

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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