| Dr Balajee Goutam Nallamothu, MD | |
|
3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | |
| (248) 898-1905 | |
| (248) 898-1032 |
| Full Name | Dr Balajee Goutam Nallamothu |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 32 Years |
| Location | 3601 W 13 Mile Rd, Royal Oak, 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 |
|---|---|---|---|
| 1104863414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 4301061524 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Motor City Anesthesia Services Pllc | 3173962800 | 2 |
| Entity Name | Long Lake Anesthesiology Consultants Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194812651 PECOS PAC ID: 7113818980 Enrollment ID: O20040322001289 |
| Entity Name | Waterford Anesthesia, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376862474 PECOS PAC ID: 6901090489 Enrollment ID: O20101028000689 |
| Entity Name | Motor City Anesthesia Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457058125 PECOS PAC ID: 3173962800 Enrollment ID: O20240415002192 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Balajee Goutam Nallamothu, MD 1631 W Big Beaver Rd, Troy, MI 48084-3501 Ph: (248) 458-0400 | Dr Balajee Goutam Nallamothu, MD 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 Ph: (248) 898-1905 |
Joshua Jones, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-1905 | |
Paul Villalba, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-1905 | |
Dr. Paul M O Leary, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Anesthesiology Dept, Royal Oak, MI 48073 Phone: 248-723-1635 Fax: 248-723-1681 | |
Shereen M Saad, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-0833 | |
Cindy Lin, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-0833 | |
Farah Aboufakhr, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-0833 | |
Dr. Mark B Yestrepsky, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Anethesiology Dept, Royal Oak, MI 48073 Phone: 248-723-1635 Fax: 248-723-1681 |