Sushma Reddy (NPI# 1427044981, PAC ID# 0143233098) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1427044981 |
| PAC ID by PECOS | 0143233098 |
| Professional Enrollment ID | I20060720000039 |
| Full Name | Sushma Reddy |
| Organization Legal Name | PORT HURON PHYSICIANS MEDICAL GROUP PC |
| Address |
4190 24th Ave Suite 206 Fort Gratiot MI 48059-3884 |
| Phone Number | 8102164000 |
| Gender | F |
| Credential | MD |
| Primary Specialty | ENDOCRINOLOGY |
| Group Practice PAC ID | 0840507802 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230031 | LAKE HURON MEDICAL CENTER |
| 230216 | MCLAREN PORT HURON |
| 230002 | ST MARY MERCY HOSPITAL |
| 230241 | ST JOHN RIVER DISTRICT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4190 24th Ave, Suite 206, Fort Gratiot, MI 48059-3884 | 8102164000 | PORT HURON PHYSICIANS MEDICAL GROUP PC |
| Organization Legal Name | PORT HURON PHYSICIANS MEDICAL GROUP PC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert J Sachs | Internal Medicine | Port Huron Physicians Medical Group PC | 4190 24th Ave, Suite 206, Fort Gratiot, MI 48059-3884 |
| Dawn Elaine Morey | General Surgery | Port Huron Physicians Medical Group PC | 2609 Electric Ave B, Lake Huron Med Grp, Port Huron, MI 48060-6589 |
| Patrick A Kut | Family Medicine | Port Huron Physicians Medical Group PC | 2603 Electric Ave, 3 Lake Huron Med Grp, Port Huron, MI 48060-6588 |
| Philip Milan Matich | Family Medicine | Port Huron Physicians Medical Group PC | 4190 24th Ave, Suite 206, Fort Gratiot, MI 48059-3884 |
| Derik S Evenson | Nurse Practitioner | Port Huron Physicians Medical Group PC | 1985 Gratiot Blvd, Marysville, MI 48040-2215 |
| Gaurav Bhalla | Internal Medicine | Port Huron Physicians Medical Group PC | 4190 24th Ave, Suite 206, Fort Gratiot, MI 48059-3884 |
| Aaron J Overly | General Surgery | Port Huron Physicians Medical Group PC | 4190 24th Ave, Suite 206, Fort Gratiot, MI 48059-3884 |
| Shilpin A Mehta | General Surgery | Port Huron Physicians Medical Group PC | 2609 Electric Ave B, Lake Huron Med Grp, Port Huron, MI 48060-6589 |
| Krishna D Valjee | General Surgery | Port Huron Physicians Medical Group PC | 4190 24th Ave, Suite 206, Fort Gratiot, MI 48059-3884 |
| Arunthathi T Stallwood | Internal Medicine | Port Huron Physicians Medical Group PC | 1985 Gratiot Blvd, Marysville, MI 48040-2215 |
| Street Address |
4190 24TH AVE SUITE 206 |
| City | FORT GRATIOT |
| State | MI |
| Zip | 48059-3884 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert J Sachs | Internal Medicine | Port Huron Physicians Medical Group PC | 4190 24th Ave, Suite 206, Fort Gratiot, MI 48059-3884 |
| Farrukh Zaman Naqvi | Family Medicine | Physician Healthcare Network PC | 4190 24th Ave, Fort Gratiot, MI 48059-3882 |
| Crystal Kay Pennell | Nurse Practitioner | Cardiology Assoc of Port Huron | 4190 24th Ave, Suite 203, Fort Gratiot, MI 48059-3884 |
| Daniel C Souphis | Family Medicine | Physician Healthcare Network PC | 4190 24th Ave, Fort Gratiot, MI 48059-3882 |
| Philip Milan Matich | Family Medicine | Port Huron Physicians Medical Group PC | 4190 24th Ave, Suite 206, Fort Gratiot, MI 48059-3884 |
| Christopher John Borgiel | Family Medicine | Physician Healthcare Network PC | 4190 24th Ave, Fort Gratiot, MI 48059-3882 |
| Omar Amin Turk | Neurology | 4190 24th Ave, Suite 210, Fort Gratiot, MI 48059-3882 | |
| Stacie Lynne Hill | Physician Assistant | Physician Healthcare Network PC | 4190 24th Ave, Fort Gratiot, MI 48059-3882 |
| Gaurav Bhalla | Internal Medicine | Port Huron Physicians Medical Group PC | 4190 24th Ave, Suite 206, Fort Gratiot, MI 48059-3884 |
| Judith A Kaszyca | Nurse Practitioner | Physician Healthcare Network PC | 4190 24th Ave, Fort Gratiot, MI 48059-3882 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randy J Plonka | Internal Medicine | Mclaren Medical Group | 5979 Lakeshore Rd, Fort Gratiot, MI 48059-2826 |
| Laura Winkelman | Nurse Practitioner | Mclaren Medical Group | 5979 Lakeshore Rd, Fort Gratiot, MI 48059-2826 |
| Heidi M Mccullah | Optometry | 4845 24th Ave, Fort Gratiot, MI 48059-3407 | |
| Hargopal Tekumulla | Physical Therapy | Riverview Physical Therapy and Rehab LLC | 4940 24th Ave, Fort Gratiot, MI 48059-3408 |
| Sushree Tekumulla | Occupational Therapy | Riverview Physical Therapy and Rehab LLC | 4940 24th Ave, Fort Gratiot, MI 48059-3408 |
| Jennifer J Marlin | Physician Assistant | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Ashley Carriveau | Physician Assistant | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Syed H Hamzavi | Dermatology | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Meredith L Price | Dermatology | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Tina M Williams | Physician Assistant | S L Husain Hamzavi Md PC | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 |
| Find all physicians in zip 48059 | |||
| City | FORT GRATIOT |
| Zip Code | 48059 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | FORT GRATIOT + ENDOCRINOLOGY |
Please comment or provide details below to improve the information on Sushma Reddy.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.