Dr Venkat Chinna Rudraraju, MD | |
840 Oakwood Blvd, Dearborn, MI 48124-2319 | |
(313) 359-7600 | |
(313) 359-7678 |
Full Name | Dr Venkat Chinna Rudraraju |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 34 Years |
Location | 840 Oakwood Blvd, Dearborn, 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 |
---|---|---|---|
1770513137 | NPI | - | NPPES |
4406149 | Medicaid | MI | |
300132548 | Other | MI | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 4301067927 (Michigan) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | 4301067927 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaumont Hospital - Wayne | Wayne, MI | Hospital |
Beaumont Hospital - Dearborn | Dearborn, MI | Hospital |
Beaumont Hospital - Taylor | Taylor, MI | Hospital |
Beaumont Hospital - Trenton | Trenton, MI | Hospital |
Henry Ford Wyandotte Hospital | Wyandotte, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Drs. Harris, Birkhill, Wang, Songe And Associates, P.c. | 3779495338 | 47 |
Entity Name | Drs. Harris, Birkhill, Wang, Songe And Associates, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679529978 PECOS PAC ID: 3779495338 Enrollment ID: O20031103000248 |
Mailing Address | Practice Location Address |
---|---|
Dr Venkat Chinna Rudraraju, MD 840 Oakwood Blvd, Dearborn, MI 48124-2319 Ph: (313) 359-7600 | Dr Venkat Chinna Rudraraju, MD 840 Oakwood Blvd, Dearborn, MI 48124-2319 Ph: (313) 359-7600 |
Frankju A Arevalo, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 | |
Dr. Rohan Lalith Deraniyagala, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 248-551-5490 | |
Jerry W Drake, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 | |
Hassan Hamadi, DO Radiology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 | |
Joon K Kim, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 | |
Jeffery Michael Holton, MD Radiology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Gme Office, Dearborn, MI 48124 Phone: 313-593-7000 | |
Dr. Michael Walter Ramalia Jr., DO Radiology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 |