Dr Praveena Koneru, MD | |
16407 Southfield Rd, Allen Park, MI 48101 | |
(313) 271-3000 | |
(313) 271-3003 |
Full Name | Dr Praveena Koneru |
---|---|
Gender | Female |
Speciality | Internal Medicine - Nephrology |
Location | 16407 Southfield Rd, Allen Park, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689696106 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 4301076287 (Michigan) | Primary |
Entity Name | Nephrology Hypertension Clinic Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053466094 PECOS PAC ID: 5193719375 Enrollment ID: O20040412000529 |
Mailing Address | Practice Location Address |
---|---|
Dr Praveena Koneru, MD Po Box 77000 Dept 771255 Dept 771255, Detroit, MI 48277-1255 Ph: (313) 271-3000 | Dr Praveena Koneru, MD 16407 Southfield Rd, Allen Park, MI 48101 Ph: (313) 271-3000 |
Dr. Jeffrey Michael Gutman, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 16407 Southfield Rd, Allen Park, MI 48101 Phone: 313-271-3000 Fax: 313-271-3003 | |
Cheng Chong Lee, MD Nephrology Medicare: Medicare Enrolled Practice Location: 6742 Park Ave, Allen Park, MI 48101 Phone: 313-928-2333 | |
Vinod Bihari Sanghi, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6540 Park Ave, Allen Park, MI 48101 Phone: 313-381-2528 Fax: 313-381-3002 | |
Subrahmanya Sarma Yellayi, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6742 Park Ave, Allen Park, MI 48101 Phone: 313-928-2333 | |
Dr. Tareq Baghal, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6742 Park Ave, Allen Park, MI 48101 Phone: 313-928-2333 | |
Muhammad Wasiullah, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 14551 Southfield Rd Ste 1, Allen Park, MI 48101 Phone: 313-299-3420 Fax: 313-299-3430 | |
Anand N Hiremath, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 16407 Southfield Rd Ste 207, Allen Park, MI 48101 Phone: 313-271-3000 Fax: 313-271-3003 |