| Pradeep G Prabhu, MD | |
|
Henry Ford Health System, 24565 Haig Road, Taylor, MI 48180 | |
| (313) 375-2000 | |
| (313) 375-2165 |
| Full Name | Pradeep G Prabhu |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | Henry Ford Health System, Taylor, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487701298 | NPI | - | NPPES |
| PP062997 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
| 324562410 | Medicaid | MI | |
| 700H262280 | Other | BLUE CROSS-BLUE CROSS | |
| PP062997 | Other | CHAMPUS-CHAMPUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 4301062997 (Michigan) | Primary |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Pradeep G Prabhu, MD Henry Ford Health System, 24565 Haig Road, Taylor, MI 48180 Ph: (313) 375-2000 | Pradeep G Prabhu, MD Henry Ford Health System, 24565 Haig Road, Taylor, MI 48180 Ph: (313) 375-2000 |
Marium Mohammed Iqbal, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 24555 Haig St, Taylor, MI 48180 Phone: 313-375-2161 Fax: 313-375-2165 | |
Sudha Rudraraju, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Henry Ford Health System, 24565 Haig Road, Taylor, MI 48180 Phone: 313-375-2000 Fax: 313-375-2235 | |
Sultana Rokeya Ghuznavi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 25412 Goddard Rd, Taylor, MI 48180 Phone: 313-292-4110 Fax: 313-292-9512 | |
Harjit Kaur Kohli, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 26650 Eureka Rd, Suite C-1, Taylor, MI 48180 Phone: 734-941-4991 Fax: 734-941-4919 | |
Stephanie Kate Langer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 10000 Telegraph Rd, Taylor, MI 48180 Phone: 949-677-4638 | |
Mhd-hussam Diarbakrli, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 23611 Goddard Rd, Suite B, Taylor, MI 48180 Phone: 734-250-7887 Fax: 734-250-8091 |