Dr Sushruth Reddy Moku, DO | |
10000 Telegraph Rd, Taylor, MI 48180-3330 | |
(313) 295-5000 | |
Not Available |
Full Name | Dr Sushruth Reddy Moku |
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Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 10000 Telegraph Rd, Taylor, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972164986 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 5151013968 (Michigan) | Primary |
Entity Name | Virginia I-spine Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184913584 PECOS PAC ID: 9234315797 Enrollment ID: O20110517000739 |
Mailing Address | Practice Location Address |
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Dr Sushruth Reddy Moku, DO 1859 Preserve Blvd, Canton, MI 48188-2221 Ph: (607) 731-5390 | Dr Sushruth Reddy Moku, DO 10000 Telegraph Rd, Taylor, MI 48180-3330 Ph: (313) 295-5000 |
Dr. Sean Ronald Sellwood, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 10000 Telegraph Rd, Taylor, MI 48180 Phone: 313-295-5000 | |
Christine Davis, DO Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 10000 Telegraph Rd, Taylor, MI 48180 Phone: 313-295-5000 | |
Jessica Gustad, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 10000 Telegraph Rd, Taylor, MI 48180 Phone: 313-982-5150 | |
Dr. James Alexander Borges, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 10000 Telegraph Rd, Taylor, MI 48180 Phone: 313-375-7226 | |
Sreekar Malempati, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 10000 Telegraph Rd, Taylor, MI 48180 Phone: 313-295-5000 | |
Dr. Bachar Salem Hazim, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 10000 Telegraph Rd Ofc, Taylor, MI 48180 Phone: 313-375-7226 | |
Dr. Milap Joshi, DO Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 10000 Telegraph Rd, Taylor, MI 48180 Phone: 313-375-7226 |