Geetha Krishnamoorthy, MD | |
44428 Woodward Ave Ste 102, Pontiac, MI 48341-5009 | |
(248) 858-3126 | |
(248) 858-6499 |
Full Name | Geetha Krishnamoorthy |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 44428 Woodward Ave Ste 102, Pontiac, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790723625 | NPI | - | NPPES |
G53324 | Other | MI | HAP ID |
110F336360 | Other | MI | BCBSM |
1346398971 | Other | MI | GROUP NPI |
205485614 | Other | MI | TAX ID |
3347713 | Medicaid | MI | |
4301062031 | Other | MI | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301062031 (Michigan) | Primary |
Entity Name | Iha Health Services Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
Entity Name | Iha Ooma Primary Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245815984 PECOS PAC ID: 7012316664 Enrollment ID: O20210601002563 |
Mailing Address | Practice Location Address |
---|---|
Geetha Krishnamoorthy, MD 24 Frank Lloyd Wright Dr # J2000, Ann Arbor, MI 48105-9484 Ph: (734) 747-6766 | Geetha Krishnamoorthy, MD 44428 Woodward Ave Ste 102, Pontiac, MI 48341-5009 Ph: (248) 858-3126 |
Judie R. Goodman, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Iha Hematology Oncology Oakland, 44405 Woodward Avenue, Suite 202, Pontiac, MI 48341 Phone: 248-858-2270 Fax: 248-335-6171 | |
Dr. Kalyana S Ramamurthi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 44200 Woodward Ave, Suie 209, Pontiac, MI 48341 Phone: 248-253-0330 Fax: 248-253-1982 | |
Dr. Ravinder Kamal Singala, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3000 | |
Dr. Fahd Al-saghir, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 44200 Woodward Ave, Suite 209, Pontiac, MI 48341 Phone: 248-253-0330 Fax: 248-253-1982 | |
Dr. Matthew Lee Edwards, D.O, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5000 | |
Athanasios Garbis, DPM Internal Medicine Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5392 | |
Dr. Aayushman Misra, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, St. Joseph Mercy Oakland, Pontiac, MI 48341 Phone: 248-495-6470 |