| Pritham Pingli Reddy, MD | |
|
22250 Providence Dr, Suite 555, Southfield, MI 48075-4825 | |
| (248) 424-5748 | |
| (248) 443-1706 |
| Full Name | Pritham Pingli Reddy |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 27 Years |
| Location | 22250 Providence Dr, Southfield, 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 |
|---|---|---|---|
| 1134332919 | NPI | - | NPPES |
| 0P33080 | Other | MI | PTAN |
| 1587302 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 4301075046 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Health Providence Southfield Hospital | Southfield, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Acute Care Surgeons Pc | 6002956265 | 15 |
| Comprehensive Vascular Care Pc | 5496735664 | 4 |
| Entity Name | Comprehensive Vascular Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538136072 PECOS PAC ID: 5496735664 Enrollment ID: O20060713000146 |
| Entity Name | Acute Care Surgeons PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730415753 PECOS PAC ID: 6002956265 Enrollment ID: O20091218000206 |
| Mailing Address | Practice Location Address |
|---|---|
| Pritham Pingli Reddy, MD 22250 Providence Drive, Suite 555, Southfield, MI 48075 Ph: (248) 424-5748 | Pritham Pingli Reddy, MD 22250 Providence Dr, Suite 555, Southfield, MI 48075-4825 Ph: (248) 424-5748 |
Violet Onkoba, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 27209 Lahser Rd Ste 128, Southfield, MI 48034 Phone: 248-353-0200 |
Kristopher Mahlon George, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-2600 Fax: 248-849-2610 |
Khatchadour Hamamdjian, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 27177 Lahser Rd, Suite Number 104, Southfield, MI 48034 Phone: 248-353-6580 Fax: 248-353-0883 |
Nafisa Kuwajerwala, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 22250 Providence Dr Ste 204, Southfield, MI 48075 Phone: 248-662-4333 |
Vijay K Mittal, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 22250 Providence Drive, Suite 703a, Southfield, MI 48075 Phone: 248-849-5862 Fax: 248-849-8117 |
Raghav Saini, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 16001 W 9 Mile Rd, Providence Hospital And Medical Centers, Southfield, MI 48075 Phone: 313-603-6648 |
Marc Gregory Webb, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 21701 W 11 Mile Rd, Southfield, MI 48076 Phone: 248-355-1100 Fax: 248-355-2717 |