| Mr Pradeep Balasubramanian, MD | |
|
5250 Auto Club Dr Ste 290a, Dearborn, MI 48126-2619 | |
| (313) 448-9220 | |
| (313) 221-9957 |
| Full Name | Mr Pradeep Balasubramanian |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 16 Years |
| Location | 5250 Auto Club Dr Ste 290a, Dearborn, 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 |
|---|---|---|---|
| 1376233403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 4301512568 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Physician Group | 8628087681 | 368 |
| Entity Name | University Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Pradeep Balasubramanian, MD 400 Mack Ave, Detroit, MI 48201-2136 Ph: () - | Mr Pradeep Balasubramanian, MD 5250 Auto Club Dr Ste 290a, Dearborn, MI 48126-2619 Ph: (313) 448-9220 |
Taylor Adlam, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 18100 Oakwood Blvd Ste 300, Dearborn, MI 48124 Phone: 313-240-4900 | |
Milena Dragovic, DO Dermatology Medicare: Not Enrolled in Medicare Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-375-7221 | |
Daniel J Myers, Dermatology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 800-356-7836 | |
Izabela Dziedzic, Dermatology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 | |
Dr. Henry Hyunjae Jeon, DO Dermatology Medicare: Not Enrolled in Medicare Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 | |
Jennifer Heyl, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: Oakwood Hospital & Medical Center, 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 |