| Dr Srinivasan Dhatreechara N, MD | |
|
420 W High St, Dowagiac, MI 49047-1943 | |
| (269) 783-3017 | |
| Not Available |
| Full Name | Dr Srinivasan Dhatreechara N |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 420 W High St, Dowagiac, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649379785 | NPI | - | NPPES |
| 4212136 | Medicaid | MI | |
| 25-30174 | Other | MI | PHP/IBA |
| SD073450 | Other | MI | BCBS |
| P106615 | Other | MI | BCN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 4301073450 (Michigan) | Primary |
| Entity Name | Ascension Borgess Lee Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194717504 PECOS PAC ID: 7719881002 Enrollment ID: O20031119000763 |
| Entity Name | Ascension Borgess Lee Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194771030 PECOS PAC ID: 7719881002 Enrollment ID: O20060228000470 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Srinivasan Dhatreechara N, MD 420 W High St, Dowagiac, MI 49047-1943 Ph: (269) 783-3017 | Dr Srinivasan Dhatreechara N, MD 420 W High St, Dowagiac, MI 49047-1943 Ph: (269) 783-3017 |
Dr. Mohammed Amjad Ranginwala, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 106 S Lowe St, Dowagiac, MI 49047 Phone: 269-462-9399 Fax: 269-462-9215 | |
Sangeeta Pal, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 520 Main St, Dowagiac, MI 49047 Phone: 269-783-3052 | |
Dr. Charles A. White, DO Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 57392 M 51 S, Dowagiac, MI 49047 Phone: 269-782-4141 Fax: 269-783-1236 | |
Dr. James Lee Wierman, DO Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 400 W Division St, Dowagiac, MI 49047 Phone: 269-782-2111 Fax: 269-782-9852 |