Sailaja Datla (NPI# 1154434975, PAC ID# 4981740933) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1154434975 |
| PAC ID by PECOS | 4981740933 |
| Professional Enrollment ID | I20091006000387 |
| Full Name | Sailaja Datla |
| Address |
24800 Harper Ave Saint Clair Shores MI 48080-1292 |
| Gender | F |
| Graduation Year | 1991 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230089 | WILLIAM BEAUMONT HOSPITAL-GROSSE POINTE |
| 230195 | ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER |
| 230130 | BEAUMONT HOSPITAL, ROYAL OAK |
| Address | Phone | Organization |
|---|---|---|
| 24800 Harper Ave, Saint Clair Shores, MI 48080-1292 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
24800 HARPER AVE |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip | 48080-1292 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wontika R Smith | Obstetrics/gynecology | St Clair Shores Obstetrics and Gynecolgy, Plc | 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064 |
| Constantine Sam Raphtis | Obstetrics/gynecology | St Clair Shores Obstetrics and Gynecolgy, Plc | 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064 |
| Michelle A Konieczny | Obstetrics/gynecology | St Clair Shores Obstetrics and Gynecolgy, Plc | 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064 |
| Anne B Mccarren | Obstetrics/gynecology | St Clair Shores Obstetrics and Gynecolgy, Plc | 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064 |
| Jennifer G Kuzel | Obstetrics/gynecology | St Clair Shores Obstetrics and Gynecolgy, Plc | 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064 |
| Kami Kveton | Obstetrics/gynecology | St Clair Shores Obstetrics and Gynecolgy, Plc | 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064 |
| Zaid Riyadh Kasmikha | Internal Medicine | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| George B Ghanem | Cardiovascular Disease (cardiology) | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| Joan S Crawford | Cardiovascular Disease (cardiology) | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| Simone N Cowan | Cardiovascular Disease (cardiology) | Eastlake Cardiovascular PC | 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 |
| Find all physicians in zip 48080 | |||
| City | SAINT CLAIR SHORES |
| Zip Code | 48080 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SAINT CLAIR SHORES + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Sailaja Datla.
| 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.