Madhavi Gangadasu, is a
Pharmacist based in Farmingtonhills, Michigan. Madhavi Gangadasu is licensed to practice in Michigan (license number 5302034889) and her current practice location is
35584 Grandriver Ave, Farmingtonhills, Michigan. She can be reached at her office (for appointments etc.) via phone at
(248) 474-1717.
NPI number for Madhavi Gangadasu is 1174741128 and her current mailing address is 45505 Andes Hills Ct, Novi, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174741128.
Healthcare Provider's Profile
| Full Name | Madhavi Gangadasu |
|---|
| Gender | Female |
|---|
| Speciality | Pharmacist |
|---|
| Location | 35584 Grandriver Ave, Farmingtonhills, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1174741128
- Provider Enumeration Date: 04/23/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Madhavi Gangadasu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174741128 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 5302034889 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Madhavi Gangadasu is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Madhavi Gangadasu,
45505 Andes Hills Ct,
Novi, MI 48374-1907
Ph: () - | Madhavi Gangadasu,
35584 Grandriver Ave,
Farmingtonhills, MI 48335
Ph: (248) 474-1717 |
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