Shabana Kalladi Puthanpurayil, MD | |
3535 W 13 Mile Rd Ste 707, Royal Oak, MI 48073-6770 | |
(248) 551-0487 | |
(248) 551-3696 |
Full Name | Shabana Kalladi Puthanpurayil |
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Gender | Female |
Speciality | Pediatrics - Pediatric Endocrinology |
Location | 3535 W 13 Mile Rd Ste 707, Royal Oak, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1376823286 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0205X | Pediatrics - Pediatric Endocrinology | 4301097882 (Michigan) | Primary |
208000000X | Pediatrics | 4301097882 (Michigan) | Secondary |
Entity Name | William Beaumont Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083833875 PECOS PAC ID: 9335051093 Enrollment ID: O20031104000279 |
Entity Name | Oakwood Ambulatory Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003829441 PECOS PAC ID: 1850282914 Enrollment ID: O20040320000401 |
Entity Name | Beaumont Medical Group- Specialty Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
Mailing Address | Practice Location Address |
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Shabana Kalladi Puthanpurayil, MD 130 Town Center Dr Ste 203, Troy, MI 48084-1744 Ph: (248) 585-8250 | Shabana Kalladi Puthanpurayil, MD 3535 W 13 Mile Rd Ste 707, Royal Oak, MI 48073-6770 Ph: (248) 551-0487 |
Melissa Joy Drewry, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 | |
Dr. Jamal Kriem, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3535 W 13 Mile Rd Ste 707, Royal Oak, MI 48073 Phone: 248-551-0487 Fax: 248-551-3696 | |
Elliott Weinhouse, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3535 W 13 Mile Rd Ste 108, Royal Oak, MI 48073 Phone: 248-551-2900 Fax: 248-551-0800 | |
Dr. Evelyn J Brito, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-551-2047 Fax: 248-551-2092 | |
Hannah Gadway, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3601 W Thirteen Mile Rd, Gme Offic, Royal Oak, MI 48073 Phone: 248-551-6489 | |
Dr. Nicole R Peltz, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 27332 Woodward Ave, Ste 100, Royal Oak, MI 48067 Phone: 248-543-1545 Fax: 248-543-8638 | |
Varsha Ganesh Deshmukh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-423-2454 |