Gaurav Vashishta, MD | |
27211 Lahser Rd, Suite # 200, Southfield, MI 48034-8469 | |
(248) 358-4892 | |
(248) 358-5125 |
Full Name | Gaurav Vashishta |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 23 Years |
Location | 27211 Lahser Rd, Southfield, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750332193 | NPI | - | NPPES |
110F336360 | Other | MI | BCBSM |
1346398971 | Other | MI | GROUP NPI |
205485614 | Other | MI | TAX ID |
4301081359 | Other | MI | LICENSE |
207R00000X | Other | MI | TAXOMOMY |
104934122 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | GV081359 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joe Mercy Hospital System Livonia | Livonia, MI | Hospital |
St Joseph Mercy Hospital | Ann arbor, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Iha Health Services Corporation | 2466351440 | 945 |
Entity Name | Iha Health Services Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
Mailing Address | Practice Location Address |
---|---|
Gaurav Vashishta, MD 28411 Northwestern Hwy, Suite #1050, Southfield, MI 48034-5544 Ph: (248) 354-4709 | Gaurav Vashishta, MD 27211 Lahser Rd, Suite # 200, Southfield, MI 48034-8469 Ph: (248) 358-4892 |
Surinder Mendiratta, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20905 Greenfield Rd, Suite 502, Southfield, MI 48075 Phone: 248-395-2888 Fax: 248-395-2891 | |
Dr. Freddy R Sosa, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 22250 Providence Dr, Suite 703, Southfield, MI 48075 Phone: 248-569-1770 Fax: 248-443-2439 | |
Kun Kil Yu, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 19189 W 10 Mile Rd, Ste 200, Southfield, MI 48075 Phone: 248-948-7985 Fax: 248-948-9031 | |
Dr. Vilma Drelichman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 22301 Foster Winter Dr, 2nd Floor, Southfield, MI 48075 Phone: 248-552-0620 Fax: 248-552-0286 | |
Dr. Sumner Camisa, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 29829 Telegraph Road, #100, Southfield, MI 48034 Phone: 248-355-3033 Fax: 248-355-4936 | |
Talal Taher Khader, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, 4th Fl Fisher Ctr, Southfield, MI 48075 Phone: 248-849-8483 | |
Dr. Herman Kado, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 28625 Northwestern Hwy, Suite 150, Southfield, MI 48034 Phone: 248-587-2300 Fax: 248-945-0492 |