| Pointe Neurology | |
|
20160 Mack Ave Grosse Pointe Woods MI 48236-1822 | |
| (313) 882-0640 | |
| (313) 882-3106 |
| Full Name | Pointe Neurology |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 20160 Mack Ave, Grosse Pointe Woods, Michigan |
| Authorized Official Name and Position | Haranath Policherla (PRESIDENT) |
| Authorized Official Contact | 3138820640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pointe Neurology 20160 Mack Ave Grosse Pointe Woods MI 48236-1822 Ph: (313) 882-0640 | Pointe Neurology 20160 Mack Ave Grosse Pointe Woods MI 48236-1822 Ph: (313) 882-0640 |
| NPI Number | 1275739351 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 12/05/2012 |
| Medicare PECOS PAC ID | 2163470733 |
|---|---|
| Medicare Enrollment ID | O20070723000277 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275739351 | NPI | - | NPPES |
| HP050806 | Other | MI | BLUE CROSS PIN# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Haranath Policherla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669493912 PECOS PAC ID: 7416905088 Enrollment ID: I20070723000255 |
| Provider Name | Vera B Jaber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871917724 PECOS PAC ID: 0446473714 Enrollment ID: I20140514001994 |
| Provider Name | Oksana Trotska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124426911 PECOS PAC ID: 5193040061 Enrollment ID: I20150217001920 |
| Provider Name | Gourilavanya Eswara |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467987354 PECOS PAC ID: 7719264183 Enrollment ID: I20170512000776 |
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