| Ira Janhavi Holla, MD | |
|
901 E Mount Hope Ave, Lansing, MI 48910-3207 | |
| (517) 267-3400 | |
| Not Available |
| Full Name | Ira Janhavi Holla |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 901 E Mount Hope Ave, Lansing, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982019345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 27617 (Mississippi) | Primary |
| 208000000X | Pediatrics | 4301105296 (Michigan) | Secondary |
| Entity Name | State Of Mississippi-university Of Mississippi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
| Mailing Address | Practice Location Address |
|---|---|
| Ira Janhavi Holla, MD 2500 N State St, Cbo Suite 4200, Jackson, MS 39216-4500 Ph: (601) 984-6426 | Ira Janhavi Holla, MD 901 E Mount Hope Ave, Lansing, MI 48910-3207 Ph: (517) 267-3400 |
Jeanjiko D Cuison, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5135 S Pennsylvania Ave, Lansing, MI 48911 Phone: 517-887-5922 Fax: 517-887-5982 | |
Dr. David Cervi, D.O., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 E Michigan Ave Ste 145, Lansing, MI 48912 Phone: 517-364-5440 Fax: 517-364-5409 | |
Ahda Fatehi Mohammad Jbarah, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1215 E Michigan Ave, Lansing, MI 48912 Phone: 517-997-2000 | |
Anastasiia Sabii, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1215 E Michigan Ave, Lansing, MI 48912 Phone: 517-677-3520 | |
Harrietta Christodoulos, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 E Michigan Ave Ste 145, Lansing, MI 48912 Phone: 517-364-5440 Fax: 517-364-5409 | |
Dr. Renuka Gera, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1200 E Michigan Ave, Ste 145, Lansing, MI 48912 Phone: 517-364-5440 Fax: 517-364-5409 | |
Farrokh Rahnemoon, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 644 Migaldi Ln, Suite 300, Lansing, MI 48917 Phone: 517-627-6024 Fax: 517-627-9339 |