Banumathy Subramanian, MD | |
29703 Hoover Rd, Steb, Warren, MI 48093-8901 | |
(586) 573-9090 | |
(586) 573-2128 |
Full Name | Banumathy Subramanian |
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Gender | Female |
Speciality | Pediatrics |
Location | 29703 Hoover Rd, Warren, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144238742 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301076114 (Michigan) | Primary |
Entity Name | Ascension Michigan-cmg |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851765374 PECOS PAC ID: 7517162761 Enrollment ID: O20160127001523 |
Mailing Address | Practice Location Address |
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Banumathy Subramanian, MD 20225 E 9 Mile Rd, Ste A, Saint Clair Shores, MI 48080-1700 Ph: (586) 573-9090 | Banumathy Subramanian, MD 29703 Hoover Rd, Steb, Warren, MI 48093-8901 Ph: (586) 573-9090 |
Eileen Hug, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 30205 Schoenherr Rd, Warren, MI 48088 Phone: 586-759-7510 Fax: 586-759-7791 | |
Ganga D Nadarajah, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 30061 Schoenherr Rd, Suite A, Warren, MI 48088 Phone: 586-558-2111 Fax: 586-558-2169 | |
Suzanne Woltanski, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13355 E 10 Mile Rd, Warren, MI 48089 Phone: 586-759-7510 Fax: 586-759-7791 | |
Dr. George C Popp, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1921 E 8 Mile Rd, Warren, MI 48091 Phone: 586-840-1333 | |
Dr. Ashraf H Berry, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 27070 Hoover Rd, Warren, MI 48093 Phone: 586-573-9090 Fax: 586-573-2128 | |
Alexia Elisabeth Minanov, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 30061 Schoenherr Rd, Suite A, Warren, MI 48088 Phone: 586-558-2111 Fax: 586-558-2169 |