Pavan G Reddy (NPI# 1659329084, PAC ID# 7214915115) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1659329084 |
| PAC ID by PECOS | 7214915115 |
| Professional Enrollment ID | I20040708000525 |
| Full Name | Pavan G Reddy |
| Organization Legal Name | HENRY FORD WYANDOTTE HOSPITAL |
| Address |
14500 Northline Rd Southgate MI 48195-2402 |
| Phone Number | 7342814197 |
| Gender | M |
| Credential | MD |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 1994 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 2264334499 |
| Number of Group Practice Members | 114 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230146 | HENRY FORD WYANDOTTE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 14500 Northline Rd, Southgate, MI 48195-2402 | 7342814197 | HENRY FORD WYANDOTTE HOSPITAL |
| Organization Legal Name | HENRY FORD WYANDOTTE HOSPITAL |
| Physicians | 103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie S Howard | Nurse Practitioner | Henry Ford Wyandotte Hospital | 2070 Biddle Ave, Suite 2, Wyandotte, MI 48192-4080 |
| Lubna Manzoor | Family Medicine | Henry Ford Wyandotte Hospital | 15450 Northline, 101 Henry Ford Wy Pri Care Southgate, Southgate, MI 48195-2490 |
| Joyce E Leon | Internal Medicine | Henry Ford Wyandotte Hospital | 1640 Fort St D, Trenton, MI 48183-2040 |
| Christina M Lucas Vougiouklakis | Family Medicine | Henry Ford Wyandotte Hospital | 21969 Huron River Dr, Rockwood, MI 48173-1237 |
| Ronald G Baker | Family Medicine | Henry Ford Wyandotte Hospital | 7226 Allen Rd, Allen Park, MI 48101-2060 |
| Marcia Vanderbroek | Family Medicine | Henry Ford Wyandotte Hospital | 23050 W Rd, 260 Henry Ford Wy Pri Cr Brownstown, Brownstown, MI 48183-1473 |
| Munther Kamal Alaiwat | Obstetrics/gynecology | Henry Ford Wyandotte Hospital | 15675 Northline Rd, Southgate, MI 48195-2334 |
| Monica C Gunter | Psychologist, Clinical | Henry Ford Wyandotte Hospital | 2333 Biddle Ave, Wyandotte, MI 48192-4668 |
| Jennifer L Havenstein | Certified Registered Nurse Anesthetist (crna) | Henry Ford Wyandotte Hospital | 2333 Biddle Ave, Wyandotte, MI 48192-4668 |
| Jamie N Ettaher | Certified Registered Nurse Anesthetist (crna) | Henry Ford Wyandotte Hospital | 2333 Biddle Ave, Wyandotte, MI 48192-4668 |
| Street Address |
14500 NORTHLINE RD |
| City | SOUTHGATE |
| State | MI |
| Zip | 48195-2402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Malathi Bathija | Allergy/immunology | 14500 Northline Rd, Southgate, MI 48195-2402 | |
| Roberta Michels | Qualified Audiologist | Henry Ford Wyandotte Hospital | 14500 Northline Rd, Southgate, MI 48195-2402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Baghdoian | Orthopedic Surgery | 13479 Northline Rd, Southgate, MI 48195-1064 | |
| Kate Schmoekel | Physical Therapy | Orthopedic Associates, P.C. | 13479 Northline Rd, Southgate, MI 48195-1064 |
| Ramalingeswara Yalamanchi | Internal Medicine | 13300 Northline Rd, Southgate, MI 48195-1065 | |
| Rajasingh Johnson | Physical Therapy | 13245 Northline Rd, Southgate, MI 48195-1070 | |
| Howard B Shore | Chiropractic | 13560 Northline Rd, Southgate, MI 48195-1080 | |
| Lisa A Marlow | Qualified Audiologist | Sheila M Ray Md PC | 13136 Fort St, Southgate, MI 48195-1102 |
| Sheila M Ray | Otolaryngology | Sheila M Ray Md PC | 13136 Fort St, Southgate, MI 48195-1102 |
| Ali Saad | Allergy/immunology | 12811 Northline Rd, Southgate, MI 48195-1109 | |
| Aaron L Scheinker | Optometry | 13350 Fort St, Southgate, MI 48195-1137 | |
| Amal M Abdul Hussein | Family Medicine | Southgate Medical Center Pllc | 13460 Fort St, Southgate, MI 48195-1138 |
| Find all physicians in zip 48195 | |||
| City | SOUTHGATE |
| Zip Code | 48195 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | SOUTHGATE + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Pavan G 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.