Dr Raj Viswanadh Vegesna, MD | |
1217 Kearney Street, Ste 2, Port Huron, MI 48060 | |
(810) 990-8302 | |
(810) 990-8402 |
Full Name | Dr Raj Viswanadh Vegesna |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 18 Years |
Location | 1217 Kearney Street, Port Huron, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417280017 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301094437 (Michigan) | Secondary |
208M00000X | Hospitalist | 43010944377 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lake Huron Medical Center | Port huron, MI | Hospital |
Mclaren Port Huron | Port huron, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
East Michigan Hospitalists Pllc | 6800199621 | 7 |
Entity Name | Iha Health Services Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
Entity Name | Advantage Health/saint Mary's Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279 |
Entity Name | East Michigan Hospitalists Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366825986 PECOS PAC ID: 6800199621 Enrollment ID: O20160127002445 |
Mailing Address | Practice Location Address |
---|---|
Dr Raj Viswanadh Vegesna, MD 1217 Kearney Street, Ste 2, Port Huron, MI 48060 Ph: (810) 990-8302 | Dr Raj Viswanadh Vegesna, MD 1217 Kearney Street, Ste 2, Port Huron, MI 48060 Ph: (810) 990-8302 |
Sara E Liter-kuester, DO Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 2540 16th St, Port Huron, MI 48060 Phone: 810-987-1000 | |
Ponon Dileep Kumar, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1217 Kearney St, Suite 2, Port Huron, MI 48060 Phone: 810-990-8302 Fax: 810-990-8402 |