Rao S Botta (NPI# 1275595381, PAC ID# 7012081482) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.
Nation Provider ID (NPI) | 1275595381 |
PAC ID by PECOS | 7012081482 |
Professional Enrollment ID | I20080801000617 |
Full Name | Rao S Botta |
Organization Legal Name | SURESH ANNE MD PC |
Address |
18161 W 13 Mile Rd C Asthma Allergy and Immunology Center Southfield MI 48076-1113 |
Phone Number | 2486463131 |
Gender | M |
Graduation Year | 1980 |
Primary Specialty | ALLERGY/IMMUNOLOGY |
Group Practice PAC ID | 5395801708 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
230141 | MCLAREN FLINT |
230121 | MEMORIAL HEALTHCARE |
230132 | HURLEY MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1 Hurley Plz, Flint, MI 48503-5902 | 8102579000 | SURESH ANNE MD PC |
401 S Ballenger Hwy, Flint, MI 48532-3638 | 8103422000 | SURESH ANNE MD PC |
5155 Norko Dr, Flint, MI 48507-3021 | 8107206700 | SURESH ANNE MD PC |
1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 8106065000 | SURESH ANNE MD PC |
18161 W 13 Mile Rd C, Asthma Allergy and Immunology Center, Southfield, MI 48076-1113 | 2486463131 | SURESH ANNE MD PC |
4792 Rochester Rd, Troy, MI 48085-4989 | 2485289010 | SURESH ANNE MD PC |
Organization Legal Name | SURESH ANNE MD PC |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Raka Mahajan | Allergy/immunology | Suresh Anne Md PC | 18161 W 13 Mile Rd C, Asthma Allergy and Immunology Center, Southfield, MI 48076-1113 |
Suresh Anne | Allergy/immunology | Suresh Anne Md PC | 18161 W 13 Mile Rd C, Asthma Allergy and Immunology Center, Southfield, MI 48076-1113 |
Thomas Patrick Sherwood | Physician Assistant | Suresh Anne Md PC | 5155 Norko Dr, Flint, MI 48507-3021 |
Alan Kwaselow | Allergy/immunology | Suresh Anne Md PC | 5155 Norko Dr, Flint, MI 48507-3021 |
Street Address |
18161 W 13 MILE RD C ASTHMA ALLERGY AND IMMUNOLOGY CENTER |
City | SOUTHFIELD |
State | MI |
Zip | 48076-1113 |
Name | Specialty | Organization | Address |
---|---|---|---|
Raka Mahajan | Allergy/immunology | Suresh Anne Md PC | 18161 W 13 Mile Rd C, Asthma Allergy and Immunology Center, Southfield, MI 48076-1113 |
Suresh Anne | Allergy/immunology | Suresh Anne Md PC | 18161 W 13 Mile Rd C, Asthma Allergy and Immunology Center, Southfield, MI 48076-1113 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amy M Bakalar | Nurse Practitioner | Carolyn E Guidot Md PC | 18161 W 13 Mile Rd, Suite E1, Southfield, MI 48076-1113 |
Lyle S Grant | Family Medicine | 18161 W 13 Mile Rd, Suite E3, Southfield, MI 48076-1113 | |
Katherine R Shaw | Nurse Practitioner | Carolyn E Guidot Md PC | 18161 W 13 Mile Rd, Suite E1, Southfield, MI 48076-1113 |
Iqbal A Nasir | General Practice | 18161 W 13 Mile Rd, D4, Southfield, MI 48076-1113 | |
Carolyn Elaine Guidot | Internal Medicine | Carolyn E Guidot Md PC | 18161 W 13 Mile Rd, Suite E1, Southfield, MI 48076-1113 |
Jennifer R Hankinson | Nurse Practitioner | Carolyn E Guidot Md PC | 18161 W 13 Mile Rd, E1, Southfield, MI 48076-1113 |
Susan Hyde Bakker | Clinical Social Worker | Personal and Family Adjustment Center PC | 30555 Southfield Rd, Suite 510, Southfield, MI 48076-1221 |
Christal L Eason | Clinical Social Worker | 30548 Southfield Rd, Apt 232, Southfield, MI 48076-1230 | |
Judith E Margerum | Psychologist, Clinical | 30233 Southfield Rd, Suite 109, Southfield, MI 48076-1362 | |
Randy T Fishman | Oral Surgery | 30021 Greenfield Rd, Suite 200, Southfield, MI 48076-1528 | |
Find all physicians in zip 48076 |
City | SOUTHFIELD |
Zip Code | 48076 |
Specialty | ALLERGY/IMMUNOLOGY |
City + Specialty | SOUTHFIELD + ALLERGY/IMMUNOLOGY |
Please comment or provide details below to improve the information on Rao S Botta.
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.