Ms Himaja Gaddipati, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Warren, Michigan. Her current practice location is
11800 E 12 Mile Rd, Warren, Michigan. You can reach out to her office (for appointments etc.) via phone at
(719) 351-9547.
Ms Himaja Gaddipati is licensed to practice in Michigan (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215594791.
Physician's Profile
Full Name | Ms Himaja Gaddipati |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 11800 E 12 Mile Rd, Warren, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215594791
- Provider Enumeration Date: 05/21/2019
- Last Update Date: 07/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 9234523655
- Enrollment ID: I20220301002135
Medical Identifiers
Medical identifiers for Ms Himaja Gaddipati such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215594791 | NPI | - | NPPES |
48071 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RH0003X | Internal Medicine - Hematology & Oncology | 5151013966 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Himaja Gaddipati is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Himaja Gaddipati, DO 27321 Dequindre Rd, Madison Heights, MI 48071-3474 Ph: () - | Ms Himaja Gaddipati, DO 11800 E 12 Mile Rd, Warren, MI 48093-3472 Ph: (719) 351-9547 |
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