| Dr Raj Viswanadh Vegesna, MD | |
|
1217 Kearney Street, Ste 2, Port Huron, MI 48060 | |
| (810) 990-8302 | |
| (810) 990-8402 |
| Full Name | Dr Raj Viswanadh Vegesna |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 19 Years |
| Location | 1217 Kearney Street, Port Huron, 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 |
|---|---|---|---|
| 1417280017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301094437 (Michigan) | Secondary |
| 208M00000X | Hospitalist | 43010944377 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Huron Medical Center | Port huron, MI | Hospital |
| Mclaren Port Huron | Port huron, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Michigan Hospitalists Pllc | 6800199621 | 8 |
| Entity Name | Iha Health Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
| Entity Name | Advantage Health/saint Mary's Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279 |
| Entity Name | East Michigan Hospitalists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366825986 PECOS PAC ID: 6800199621 Enrollment ID: O20160127002445 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Raj Viswanadh Vegesna, MD 1217 Kearney Street, Ste 2, Port Huron, MI 48060 Ph: (810) 990-8302 | Dr Raj Viswanadh Vegesna, MD 1217 Kearney Street, Ste 2, Port Huron, MI 48060 Ph: (810) 990-8302 |
Sara E Liter-kuester, DO Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1216 Richardson St, Port Huron, MI 48060 Phone: 810-985-2640 | |
Ponon Dileep Kumar, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1217 Kearney St, Suite 2, Port Huron, MI 48060 Phone: 810-990-8302 Fax: 810-990-8402 |