Prasad Kommareddi (NPI# 1669564498, PAC ID# 8820174170) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1669564498 |
| PAC ID by PECOS | 8820174170 |
| Professional Enrollment ID | I20100303000609 |
| Full Name | Prasad Kommareddi |
| Organization Legal Name | ASCENSION MEDICAL GROUP GENESYS |
| Address |
3709 E Court St Flint MI 48506-4148 |
| Phone Number | 8107431090 |
| Gender | M |
| Graduation Year | 1975 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7214288281 |
| Number of Group Practice Members | 115 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230197 | GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK |
| Address | Phone | Organization |
|---|---|---|
| 3709 E Court St, Flint, MI 48506-4148 | 8107431090 | ASCENSION MEDICAL GROUP GENESYS |
| Organization Legal Name | ASCENSION MEDICAL GROUP GENESYS |
| Physicians | 96 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Hinman | Family Medicine | Ascension Medical Group Genesys | 6379 Silver Lake Rd, Linden, MI 48451-8706 |
| Heidi B Hilton-kosch | Family Medicine | Ascension Medical Group Genesys | 7477 S State Rd, Goodrich, MI 48438-8745 |
| Megan A Lumsden | Physician Assistant | Ascension Medical Group Genesys | 1434 Flushing Rd, Flushing, MI 48433-2229 |
| Heather M Jones | Nurse Practitioner | Ascension Medical Group Genesys | 435 N Leroy St, Fenton, MI 48430-2731 |
| Rhonda J Morse | Nurse Practitioner | Ascension Medical Group Genesys | 1513 S Ctr Rd, Burton, MI 48509-1728 |
| Danielle M Holt | Nurse Practitioner | Ascension Medical Group Genesys | 4154 W Vienna Rd, Clio, MI 48420-2809 |
| Mandy Trevino | Family Medicine | Ascension Medical Group Genesys | 3045 Grange Hall Rd, Suite 9, Holly, MI 48442-1020 |
| Roger Mausolf | Physician Assistant | Ascension Medical Group Genesys | 8447 Holly Rd, Suite A, Grand Blanc, MI 48439-2479 |
| Claire Mcdowell | Nurse Practitioner | Ascension Medical Group Genesys | 8483 Holly Rd, Grand Blanc, MI 48439-1840 |
| Adrea L Gardner | Physical Therapy | Ascension Medical Group Genesys | 1096 S Belsay Rd G, Ascension Genesys Ambulatory Therapy, Burton, MI 48509-1948 |
| Street Address |
3709 E COURT ST |
| City | FLINT |
| State | MI |
| Zip | 48506-4148 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Muhammad A Almansour | Family Medicine | 4071 Richfield Rd, Flint, MI 48506-2008 | |
| Robert H Goeckel | Chiropractic | 4306 Richfield Rd, Flint, MI 48506-2022 | |
| Gloria Stephanie Enriquez | Optometry | 4091 Richfield Rd, Flint, MI 48506-2033 | |
| Bradley E Habermehl | Optometry | 4091 Richfield Rd, Flint, MI 48506-2033 | |
| Erica M Zeiders | Optometry | Erica M Zeiders Od Pllc | 4091 Richfield Rd, Flint, MI 48506-2033 |
| Neimat A Ahmed | Internal Medicine | M Al-jabban Md Plc | 5232 Richfield Rd, Flint, MI 48506-2182 |
| Amber M Mayhew | Physical Therapy | Mayhew Enterprises, PC | 5484 Richfield Rd, Flint, MI 48506-2228 |
| Linval K Fleetwood | Family Medicine | 1415 Broadway Blvd, Flint, MI 48506-3530 | |
| Laura M Svinarich | Physician Assistant | Unified Medical Services PC | 5340 N Genesee Rd B, Flint, MI 48506-4529 |
| Tara Rae Evans | Nurse Practitioner | Unified Medical Services PC | 5340 N Genesee Rd B, Flint, MI 48506-4529 |
| Find all physicians in zip 48506 | |||
| City | FLINT |
| Zip Code | 48506 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | FLINT + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Prasad Kommareddi.
| 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.