| Vijaya Mamidipaka, MD | |
|
47500 Ffve Mile Road, Plymouth, MI 48170 | |
| (734) 459-7400 | |
| (734) 459-7403 |
| Full Name | Vijaya Mamidipaka |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 47500 Ffve Mile Road, Plymouth, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295770394 | NPI | - | NPPES |
| OH24978 | Other | MA | BLUE CROSS BLUE SHIELD MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301082641 (Michigan) | Primary |
| Entity Name | State Of Michigan Office Of Financial Management |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710989298 PECOS PAC ID: 5496650723 Enrollment ID: O20040612000494 |
| Mailing Address | Practice Location Address |
|---|---|
| Vijaya Mamidipaka, MD 47500 Five Mile Rd, Plymouth, MI 48170-2487 Ph: (734) 459-7400 | Vijaya Mamidipaka, MD 47500 Ffve Mile Road, Plymouth, MI 48170 Ph: (734) 459-7400 |
Dr. Kimberly Ottoni, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14300 N Beck Rd, Plymouth, MI 48170 Phone: 734-453-5600 | |
Joseph W. Crow Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14300 N Beck Rd, Plymouth, MI 48170 Phone: 734-453-5600 | |
Andrew Rubenstein, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 261 S Main St, Plymouth, MI 48170 Phone: 734-453-9500 Fax: 734-453-9501 | |
Suki Singh, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 40777 Ann Arbor Rd E, Plymouth, MI 48170 Phone: 734-738-2020 | |
Dr. Lauren Elizabeth Lumley, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 990 W Ann Arbor Trl Ste 208, Plymouth, MI 48170 Phone: 734-455-1200 Fax: 734-455-5219 | |
Sana Rasheed Zuberi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14300 N Beck Rd, Plymouth, MI 48170 Phone: 800-653-6568 |