Maruthavanan Ram, MD | |
26850 Providence Pkwy Ste 455, Novi, MI 48374-1265 | |
(248) 465-4847 | |
Not Available |
Full Name | Maruthavanan Ram |
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Gender | Male |
Speciality | Pediatrics |
Location | 26850 Providence Pkwy Ste 455, Novi, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265478788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 4301081482 (Michigan) | Primary |
Entity Name | Ascension Providence Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942265236 PECOS PAC ID: 6103738703 Enrollment ID: O20031103000326 |
Mailing Address | Practice Location Address |
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Maruthavanan Ram, MD 26850 Providence Pkwy Ste 455, Novi, MI 48374-1265 Ph: (248) 465-4847 | Maruthavanan Ram, MD 26850 Providence Pkwy Ste 455, Novi, MI 48374-1265 Ph: (248) 465-4847 |
Dr. Jacalyn Meredith Bishop, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 25500 Meadowbrook Rd, Suite 130, Novi, MI 48375 Phone: 248-347-3344 Fax: 248-305-6845 | |
Dr. Hussein Azzam, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 Phone: 248-347-8121 Fax: 248-305-6254 | |
Dr. Preeti Venkataraman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 50002 Streamwood Dr, Novi, MI 48374 Phone: 646-271-6140 | |
Dr. Susan Jean Laurent, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 23965 Novi Rd, Suite 100, Novi, MI 48375 Phone: 248-348-2100 Fax: 248-348-4772 | |
Dr. Caroline Reed Meldrum, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 26850 Providence Pkwy, Suite 455, Novi, MI 48374 Phone: 248-465-4847 Fax: 248-465-4477 | |
Angelika Rector, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 44070 W 12 Mile Rd Ste 100, Novi, MI 48377 Phone: 248-347-8040 | |
Colleen Larose Miele, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 47601 Grand River Ave, B233, Novi, MI 48374 Phone: 248-465-4847 Fax: 248-465-4809 |