Anuradha Prabhu, MD | |
44199 Dequindre Rd Ste 615, Beaumont Pediatric Subspecialty Clinic, Troy, MI 48085-1128 | |
(248) 964-9660 | |
(248) 964-9665 |
Full Name | Anuradha Prabhu |
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Gender | Female |
Speciality | Pediatrics - Pediatric Cardiology |
Location | 44199 Dequindre Rd Ste 615, Troy, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1083608806 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2080P0202X | Pediatrics - Pediatric Cardiology | 4301056840 (Michigan) | Primary |
Entity Name | William Beaumont Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083833875 PECOS PAC ID: 9335051093 Enrollment ID: O20031104000279 |
Entity Name | Beaumont Medical Group- Specialty Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
Mailing Address | Practice Location Address |
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Anuradha Prabhu, MD 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: () - | Anuradha Prabhu, MD 44199 Dequindre Rd Ste 615, Beaumont Pediatric Subspecialty Clinic, Troy, MI 48085-1128 Ph: (248) 964-9660 |
Harini Erupaka Reddy, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-1007 | |
Dr. Beth Kimberly Miral, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1800 W. Big Beaver Rd, Suite 200, Troy, MI 48084 Phone: 248-205-3535 Fax: 248-649-5920 | |
Danelle Renae Stabel, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2825 Livernois Rd, Troy, MI 48083 Phone: 248-680-6000 | |
Dr. Tamer N Massarani, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1579 W Big Beaver Rd, Ste B5, Troy, MI 48084 Phone: 248-614-0124 Fax: 248-614-0126 | |
Dr. John Patrick Quigley, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 44199 Dequindre Rd, Suite 222, Troy, MI 48085 Phone: 248-879-5570 Fax: 248-879-2235 | |
Dr. Majda A Hannish, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 W Big Beaver Rd, Ste 110, Troy, MI 48084 Phone: 248-816-1300 Fax: 248-816-2723 |