Vijaya Kanumilli, MD | |
Henry Ford Health System, 19401 Hubbard Drive, Dearborn, MI 48126 | |
(313) 982-8330 | |
(313) 982-8294 |
Full Name | Vijaya Kanumilli |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Location | Henry Ford Health System, Dearborn, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376617886 | NPI | - | NPPES |
VK050781 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
VK050781 | Other | CHAMPUS-CHAMPUS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 050781 (Michigan) | Primary |
Entity Name | Henry Ford Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003989690 PECOS PAC ID: 0547178311 Enrollment ID: O20031111000300 |
Mailing Address | Practice Location Address |
---|---|
Vijaya Kanumilli, MD Henry Ford Health System, 19401 Hubbard Drive, Dearborn, MI 48126 Ph: (313) 982-8330 | Vijaya Kanumilli, MD Henry Ford Health System, 19401 Hubbard Drive, Dearborn, MI 48126 Ph: (313) 982-8330 |
Dr. Clarence C. Rayos, D.O. Anesthesiology Medicare: Medicare Enrolled Practice Location: 19401 Hubbard Dr, Dearborn, MI 48126 Phone: 313-982-8280 Fax: 313-982-8271 | |
Dr. Debora Ann Kaczynski, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 18181 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-1573 | |
Dr. Lisa Michelle Tyra Soranno, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 18181 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-982-5159 Fax: 313-982-5115 | |
Ms. Heather Assad Zacur, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 24327 Ford Rd, Dearborn, MI 48128 Phone: 617-732-8210 | |
Dr. Aaron Scott Goldfein, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2040 Monroe St, Suite #209, Dearborn, MI 48124 Phone: 313-359-3800 Fax: 313-277-4100 | |
Zulfiqar Ahmed, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 18101 Oakwood Blvd, Dept Of Anesthesiology, Dearborn, MI 48124 Phone: 313-593-7050 Fax: 313-982-5110 | |
James Lambert, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 18181 Oakwood Blvd, Suite 206, Dearborn, MI 48124 Phone: 313-593-1573 |