Sadasiva T Reddy, MD | |
205 N East Ave, Imaging Department, Jackson, MI 49201-1753 | |
(517) 783-2612 | |
(517) 783-5991 |
Full Name | Sadasiva T Reddy |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 205 N East Ave, Jackson, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427059534 | NPI | - | NPPES |
1329251 | Medicaid | MI | |
4301037206 | Other | MI | STATE OF MICHIGAN MEDICAL LICENSE |
300020173 | Other | RAILROAD MEDICARE | |
3003853751 | Other | MI | BCBS OF MICHIGAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 4301037206 (Michigan) | Primary |
Entity Name | Jackson Radiology Consultants P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295736015 PECOS PAC ID: 1254312267 Enrollment ID: O20040526000669 |
Mailing Address | Practice Location Address |
---|---|
Sadasiva T Reddy, MD 2800 Spring Arbor Rd Ste 102, Po Box 905, Jackson, MI 49203-3895 Ph: (517) 783-2612 | Sadasiva T Reddy, MD 205 N East Ave, Imaging Department, Jackson, MI 49201-1753 Ph: (517) 783-2612 |
David A Williamson, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 205 N East Ave, Imaging Department, Jackson, MI 49201 Phone: 517-783-2612 Fax: 517-783-5991 | |
James E Heisel, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Imaging Department, Jackson, MI 49201 Phone: 517-783-2612 Fax: 517-783-5991 | |
Mohammad Asad, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Imaging Dept, Jackson, MI 49201 Phone: 517-783-2612 Fax: 517-783-5991 | |
Libby S Anderson, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 205 N East Ave, Imaging Department, Jackson, MI 49201 Phone: 517-783-2612 Fax: 517-783-6095 | |
Paula Novelli, Radiology Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Imaging Services H.f. Allegiance Health, Jackson, MI 49201 Phone: 517-783-2612 | |
Dr. Waseem Ullah, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Imaging Services, Jackson, MI 49201 Phone: 517-783-2612 Fax: 571-783-5991 | |
Sean Michael Vance, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1102 E Michigan Ave, Jackson, MI 49201 Phone: 517-205-7299 |