Sudha Rudraraju, MD | |
Henry Ford Health System, 24565 Haig Road, Taylor, MI 48180 | |
(313) 375-2000 | |
(313) 375-2235 |
Full Name | Sudha Rudraraju |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | Henry Ford Health System, Taylor, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568519379 | NPI | - | NPPES |
SR062364 | Other | CHAMPUS-CHAMPUS | |
327180210 | Medicaid | MI | |
SR062364 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
700H262280 | Other | BLUE CROSS-BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301062364 (Michigan) | Primary |
Entity Name | Henry Ford Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
Mailing Address | Practice Location Address |
---|---|
Sudha Rudraraju, MD Henry Ford Health System, 24565 Haig Road, Taylor, MI 48180 Ph: (313) 375-2000 | Sudha Rudraraju, MD Henry Ford Health System, 24565 Haig Road, Taylor, MI 48180 Ph: (313) 375-2000 |
Marium Mohammed Iqbal, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 24555 Haig St, Taylor, MI 48180 Phone: 313-375-2161 Fax: 313-375-2165 | |
Pradeep G. Prabhu, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Henry Ford Health System, 24565 Haig Road, Taylor, MI 48180 Phone: 313-375-2000 Fax: 313-375-2165 | |
Sultana Rokeya Ghuznavi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 25412 Goddard Rd, Taylor, MI 48180 Phone: 313-292-4110 Fax: 313-292-9512 | |
Harjit Kaur Kohli, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 26650 Eureka Rd, Suite C-1, Taylor, MI 48180 Phone: 734-941-4991 Fax: 734-941-4919 | |
Stephanie Kate Langer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 10000 Telegraph Rd, Taylor, MI 48180 Phone: 949-677-4638 | |
Mhd-hussam Diarbakrli, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 23611 Goddard Rd, Suite B, Taylor, MI 48180 Phone: 734-250-7887 Fax: 734-250-8091 |