| Subbaraju Budharaju, MBBS | |
|
3535 Southern Blvd, Kettering, OH 45429-1221 | |
| (937) 395-6665 | |
| (937) 395-6668 |
| Full Name | Subbaraju Budharaju |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 3535 Southern Blvd, Kettering, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184915050 | NPI | - | NPPES |
| 0107858 | Medicaid | OH |
| Entity Name | Kettering Independent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
| Entity Name | Hospitalist Medicine Physicians Of Ohio, Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043572290 PECOS PAC ID: 3779749197 Enrollment ID: O20120730000162 |
| Mailing Address | Practice Location Address |
|---|---|
| Subbaraju Budharaju, MBBS 1 Prestige Pl Ste 550, Miamisburg, OH 45342-6115 Ph: (937) 762-1305 | Subbaraju Budharaju, MBBS 3535 Southern Blvd, Kettering, OH 45429-1221 Ph: (937) 395-6665 |
Ms. Stephanie Elizabeth Nicholls, PA-C Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-6665 Fax: 937-395-6668 | |
Piam Shanehsaz, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-6665 Fax: 937-395-6668 | |
Dr. Ruchi Bisen, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-384-6800 | |
Dr. Arshad Ali Shah, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-6665 Fax: 937-395-6668 | |
Dr. Rebecca Podurgiel Ramirez, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-6665 Fax: 937-395-6668 | |
Johnna K Kern, DO Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-6665 Fax: 937-395-6668 |