| Dr Kondraganti P Rao, MD | |
|
28111 Hoover, Warren, MI 48093 | |
| (586) 573-0589 | |
| (586) 573-3861 |
| Full Name | Dr Kondraganti P Rao |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 28111 Hoover, Warren, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306814561 | NPI | - | NPPES |
| 2627454 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 4301032931 (Michigan) | Secondary |
| 207L00000X | Anesthesiology | 4301032931 (Michigan) | Primary |
| Entity Name | American Anesthesiology Of Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487609475 PECOS PAC ID: 5294648804 Enrollment ID: O20031110000617 |
| Entity Name | Eastside Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235365289 PECOS PAC ID: 4486790219 Enrollment ID: O20091008000624 |
| Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990 |
| Entity Name | Nsa Pain Services Of Michigan Iii, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376169524 PECOS PAC ID: 8921428996 Enrollment ID: O20201013000578 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kondraganti P Rao, MD 50 N Deeplands Road, Grosse Pointe Shores, MI 48236 Ph: (586) 573-0589 | Dr Kondraganti P Rao, MD 28111 Hoover, Warren, MI 48093 Ph: (586) 573-0589 |
Kathy Schlecht, DO Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 28120 Dequindre Rd, Warren, MI 48092 Phone: 586-573-0709 | |
Samuel D Manalo, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5260 | |
Horacio G Lardo, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5260 | |
Charles F Mckolay, D.O. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 11800 E 12 Mile Rd, Anesthesia Department, Warren, MI 48093 Phone: 586-573-5260 | |
Jason Zatkoff, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11012 E 13 Mile Rd Ste 112a, Warren, MI 48093 Phone: 586-751-9800 | |
Philip J Zink, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5260 |