Dr Sathyanarayan Sudhanthar, MD | |
1600 W Grand River Ave Ste 2, Okemos, MI 48864-2394 | |
(517) 349-6560 | |
(517) 349-5796 |
Full Name | Dr Sathyanarayan Sudhanthar |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1600 W Grand River Ave Ste 2, Okemos, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689685802 | NPI | - | NPPES |
4908104 | Medicaid | MI | |
1689685802 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301084257 (Michigan) | Primary |
Entity Name | Michigan State University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891747614 PECOS PAC ID: 3870405954 Enrollment ID: O20031106000079 |
Entity Name | Msu Health Care Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700418670 PECOS PAC ID: 8628404936 Enrollment ID: O20200518002744 |
Mailing Address | Practice Location Address |
---|---|
Dr Sathyanarayan Sudhanthar, MD 804 Service Rd Ste A109b, East Lansing, MI 48824-7015 Ph: (517) 349-6560 | Dr Sathyanarayan Sudhanthar, MD 1600 W Grand River Ave Ste 2, Okemos, MI 48864-2394 Ph: (517) 349-6560 |
Dr. Jerold Paul Veldman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4436 Copperhill Dr, Okemos, MI 48864 Phone: 517-336-7128 Fax: 517-336-7128 | |
Eleanor A Watson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 W Grand River Ave Ste 2, Okemos, MI 48864 Phone: 517-349-6560 Fax: 517-349-5796 | |
Kripa Thakur, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 W Grand River Ave Ste 2, Okemos, MI 48864 Phone: 517-349-6560 Fax: 517-349-5796 | |
Kristin Anne Weidert, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 W Grand River Ave Ste 2, Okemos, MI 48864 Phone: 517-349-6560 Fax: 517-349-5796 | |
Dr. Ruth Ann Worthington, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 W Gd River Ave, Ste 2, Okemos, MI 48864 Phone: 517-349-6560 Fax: 517-349-5796 | |
Dr. Hiram Stephen Williams, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 W Grand River Ave, Okemos, MI 48864 Phone: 517-349-6560 Fax: 517-349-5796 | |
Dr. Lauren Marie Azevedo, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 W Grand River Ave Ste 2, Okemos, MI 48864 Phone: 517-349-6560 Fax: 517-679-8232 |