| Vijay Kumar Kotha, MD | |
|
33545 Cherry Hill Road, Westland, MI 48186 | |
| (734) 595-1166 | |
| (734) 595-6821 |
| Full Name | Vijay Kumar Kotha |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 26 Years |
| Location | 33545 Cherry Hill Road, Westland, 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 |
|---|---|---|---|
| 1700854395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 47160020 (Wisconsin) | Secondary |
| 208800000X | Urology | 4301089312 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital - Wayne | Wayne, MI | Hospital |
| Beaumont Hospital - Dearborn | Dearborn, MI | Hospital |
| Beaumont Hospital - Taylor | Taylor, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Michigan Healthcare Professionals Pc | 0345413258 | 463 |
| Entity Name | Michigan Healthcare Professionals Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295023547 PECOS PAC ID: 0345413258 Enrollment ID: O20111109000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Vijay Kumar Kotha, MD 33545 Cherry Hill Road, Westland, MI 48186 Ph: (734) 595-1166 | Vijay Kumar Kotha, MD 33545 Cherry Hill Road, Westland, MI 48186 Ph: (734) 595-1166 |
Mahmood A Hai, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 33545 Cherry Hill Rd, Westland, MI 48186 Phone: 734-595-1166 Fax: 734-595-6821 | |
Dr. Muzammil M Ahmed, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 33545 Cherry Hill Rd, Westland, MI 48186 Phone: 734-595-1166 Fax: 734-595-6821 | |
Dr. Surendra Mohan Kumar, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 33116 Palmer Road, Westland, MI 48186 Phone: 734-722-0004 Fax: 734-722-0887 |