Subramaniam R Shastri, MD | |
3950 Hollywood Rd, Suite 270, Saint Joseph, MI 49085-9159 | |
(269) 982-7840 | |
(269) 982-7843 |
Full Name | Subramaniam R Shastri |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 3950 Hollywood Rd, Saint Joseph, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821057183 | NPI | - | NPPES |
290012718 | Other | MI | RAIL ROAD MEDICARE |
0A110280 | Other | MI | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | SS036858 (Michigan) | Primary |
Entity Name | Lakeland Medical Practices |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
Mailing Address | Practice Location Address |
---|---|
Subramaniam R Shastri, MD 3950 Hollywood Rd, Suite 270, Saint Joseph, MI 49085-9159 Ph: (269) 982-7840 | Subramaniam R Shastri, MD 3950 Hollywood Rd, Suite 270, Saint Joseph, MI 49085-9159 Ph: (269) 982-7840 |
Hany S Mesiha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-983-8300 | |
Thomas Ryan Birris, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3903 Hollywood Rd, Saint Joseph, MI 49085 Phone: 269-408-1100 | |
Kimberlee Ann Tomerlin, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3950 Hollywood Rd Ste 100, Saint Joseph, MI 49085 Phone: 269-429-8010 | |
Dr. Muhammad M. Abdel Migeed, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3950 Hollywood Rd Ste 110, Saint Joseph, MI 49085 Phone: 269-985-1000 | |
Penny Rathburn, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-985-4632 | |
Dr. Robert M Allen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-471-7741 Fax: 269-471-1581 | |
Michael Scott Morris, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-982-4862 Fax: 269-985-4523 |