| Raghavesh Pullalarevu, MD | |
|
3535 W 13 Mile Rd Ste 644, Beaumont Multi-organ Transplant Clinic, Royal Oak, MI 48073-6770 | |
| (800) 253-5592 | |
| (248) 551-2125 |
| Full Name | Raghavesh Pullalarevu |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 19 Years |
| Location | 3535 W 13 Mile Rd Ste 644, Royal Oak, 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 |
|---|---|---|---|
| 1689985079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MT 198189 (Pennsylvania) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 4301110236 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sanford Dialysis Morris | Morris, MN | Dialysis facility |
| Sanford Medical Center Fargo | Fargo, ND | Hospital |
| Stevens Community Medical Center | Morris, MN | Hospital |
| Perham Health | Perham, MN | Hospital |
| Sanford Medical Center Thief River Falls | Thief river falls, MN | Hospital |
| Sanford Bemidji Medical Center | Bemidji, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Medical Center Fargo | 8426967803 | 1125 |
| Sanford Medical Center Fargo | 8426967803 | 1125 |
| Entity Name | Sanford Medical Center Fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Raghavesh Pullalarevu, MD 130 Town Center Dr Ste 203, Beaumont Medical Staff Affairs, Troy, MI 48084-1744 Ph: (248) 585-8218 | Raghavesh Pullalarevu, MD 3535 W 13 Mile Rd Ste 644, Beaumont Multi-organ Transplant Clinic, Royal Oak, MI 48073-6770 Ph: (800) 253-5592 |
Rohma Shamsi, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-551-3850 | |
Nicole Marijanovich, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-7999 Fax: 248-898-0580 | |
Vinayata Manuballa Kareti, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 661-948-0803 | |
Christopher Carpenter, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3535 W 13 Mile Rd Ste 605, Royal Oak, MI 48073 Phone: 248-551-0495 | |
Dr. Matthew Burns Cotant, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3577 W 13 Mile Rd, Suite 404, Royal Oak, MI 48073 Phone: 248-551-6900 Fax: 248-551-6909 | |
Taylor Schoenheit, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-6509 | |
Shane Mckenna, MD Nephrology Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-551-3000 Fax: 248-551-9425 |