| Dr Samba Siva Reddy Bathula, MD | |
|
4160 John R St Ste 1007, Dmc Ent-harper Professional Building, Detroit, MI 48201-2017 | |
| (313) 966-9471 | |
| (313) 966-9470 |
| Full Name | Dr Samba Siva Reddy Bathula |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 27 Years |
| Location | 4160 John R St Ste 1007, Detroit, 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 |
|---|---|---|---|
| 1013223239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YP0228X | Otolaryngology - Pediatric Otolaryngology | 4301096231 (Michigan) | Secondary |
| 207Y00000X | Otolaryngology | 4301096231 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sinai-grace Hospital | Detroit, MI | Hospital |
| Detroit Receiving Hospital | Detroit, MI | Hospital |
| Harper University Hospital | Detroit, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vhs Physicians Of Michigan | 8921289760 | 212 |
| Entity Name | Vhs Physicians Of Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073827101 PECOS PAC ID: 8921289760 Enrollment ID: O20110225000849 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samba Siva Reddy Bathula, MD 4160 John R St Ste 1007, Dmc Ent-harper Professional Building, Detroit, MI 48201-2017 Ph: (313) 966-9471 | Dr Samba Siva Reddy Bathula, MD 4160 John R St Ste 1007, Dmc Ent-harper Professional Building, Detroit, MI 48201-2017 Ph: (313) 966-9471 |
Dr. Kathleen L. Yaremchuk, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-3275 Fax: 313-916-7263 | |
Dr. Lamont Jones, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Department Of Otolaryngology, Henry Ford Hospital, Detroit, MI 48202 Phone: 313-916-3272 Fax: 313-916-7263 | |
Dr. Joshua Romero, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Robert Hadi Deeb, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-3275 | |
Nathan Gonik, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3901 Beaubien St, Suite 2102, Detroit, MI 48201 Phone: 313-966-6443 Fax: 313-745-0747 | |
Dr. Ilaaf Darrat, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-587-3523 |