Dr Srilatha Mallu, MD | |
2799 W Grand Blvd, Henry Ford Hospital, Detroit, MI 48202-2608 | |
(313) 916-4872 | |
Not Available |
Full Name | Dr Srilatha Mallu |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Location | 2799 W Grand Blvd, Detroit, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013126358 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 35-096328 (Ohio) | Primary |
207L00000X | Anesthesiology | 4301079527 (Michigan) | Secondary |
Entity Name | Sheridan Healthcorp Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
Entity Name | Anesthesia Medicine Services Of Fl Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346947496 PECOS PAC ID: 9537524343 Enrollment ID: O20230501002203 |
Mailing Address | Practice Location Address |
---|---|
Dr Srilatha Mallu, MD 28849 Hearthstone Dr, Novi, MI 48377-2722 Ph: (248) 438-1038 | Dr Srilatha Mallu, MD 2799 W Grand Blvd, Henry Ford Hospital, Detroit, MI 48202-2608 Ph: (313) 916-4872 |
Mousab Eteer, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 800-653-6568 | |
Chisaokwu Duru, Anesthesiology Medicare: Medicare Enrolled Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-7233 | |
Dr. Puja Laroia, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 4201 Saint Antoine St, Detroit, MI 48201 Phone: 313-745-5146 | |
Dr. Daniel S Rana, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4000 | |
Dr. Samir F Fuleihan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-8521 | |
Muthuvasuki Veerappan, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 7733 E Jefferson Ave, Detroit, MI 48214 Phone: 313-499-4254 |