Kavyashri Kodlipet Jagadeesh (NPI# 1013296771, PAC ID# 5193943983) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1013296771 |
| PAC ID by PECOS | 5193943983 |
| Professional Enrollment ID | I20140819002526 |
| Full Name | Kavyashri Kodlipet Jagadeesh |
| Organization Legal Name | MCLAREN MACOMB |
| Address |
37399 Garfield Rd Suite 106 Clinton Township MI 48036-3672 |
| Phone Number | 5862263500 |
| Gender | F |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8921912791 |
| Number of Group Practice Members | 110 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230227 | MCLAREN MACOMB |
| Address | Phone | Organization |
|---|---|---|
| 37399 Garfield Rd, Suite 106, Clinton Township, MI 48036-3672 | 5862263500 | MCLAREN MACOMB |
| Organization Legal Name | MCLAREN MACOMB |
| Physicians | 73 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katie B Bieber | Obstetrics/gynecology | Mclaren Macomb | 36561 Harper Ave, Clinton Township, MI 48035-2012 |
| Tina Crocenzi | Nurse Practitioner | Mclaren Macomb | 38770 Garfield Rd, Suite 102, Clinton Township, MI 48038-6631 |
| Angelica M Radzioch | Family Medicine | Mclaren Macomb | 35103 Silvano St, Clinton Township, MI 48035-2685 |
| Cassandra N Ramar | Obstetrics/gynecology | Mclaren Macomb | 44200 Garfield Rd, Suite 164, Clinton Township, MI 48038-1142 |
| Kirk F Garcia-rios | Family Medicine | Mclaren Macomb | 46401 Romeo Plank Rd, Suite 4, Macomb, MI 48044-3510 |
| Robert F Carson | Orthopedic Surgery | Mclaren Macomb | 36500 S Gratiot Ave, 102 Multispecialties, Clinton Township, MI 48035-1772 |
| Christopher A Schnurer | Family Medicine | Mclaren Macomb | 33720 Harper Ave, Clinton Township, MI 48035-4255 |
| Michael William Sullivan | Family Medicine | Mclaren Macomb | 16700 21 Mile Rd, Suite 101, Macomb, MI 48044-4887 |
| Mary E Puls | Internal Medicine | Mclaren Macomb | 36539 Harper Ave, Clinton Township, MI 48035-2012 |
| Mimi M Chen | Obstetrics/gynecology | Mclaren Macomb | 37399 Garfield Rd, Clinton Township, MI 48036-3672 |
| Street Address |
37399 GARFIELD RD SUITE 106 |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip | 48036-3672 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mimi M Chen | Obstetrics/gynecology | Mclaren Macomb | 37399 Garfield Rd, Clinton Township, MI 48036-3672 |
| Sharon R Rose | Clinical Social Worker | 37399 Garfield Rd, Suite 200a, Clinton Twp, MI 48036-3672 | |
| Lisa J Higley | Internal Medicine | Mclaren Macomb | 37399 Garfield Rd, Clinton Township, MI 48036-3672 |
| Brian Donald Young | Internal Medicine | Mclaren Macomb | 37399 Garfield Rd, Suite 106, Clinton Township, MI 48036-3672 |
| Erin M Baker | Family Medicine | Mclaren Macomb | 37399 Garfield Rd, Clinton Township, MI 48036-3672 |
| Jennifer L Rise | Internal Medicine | Mclaren Macomb | 37399 Garfield Rd, Suite 203, Clinton Township, MI 48036-3672 |
| Alyssa Ann Dennie | Nurse Practitioner | Mclaren Macomb | 37399 Garfield Rd, Suite 203, Clinton Township, MI 48036-3672 |
| Andrew Rushlow | Physician Assistant | Mclaren Macomb | 37399 Garfield Rd, Clinton Township, MI 48036-3672 |
| Tammy L West | Family Medicine | Mclaren Macomb | 37399 Garfield Rd, Clinton Township, MI 48036-3672 |
| Bruce G Johnson | Internal Medicine | Mclaren Macomb | 37399 Garfield Rd, Clinton Township, MI 48036-3672 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marieta P Bautista | Psychiatry | County of Macomb | 21885 Dunham Rd, Suite 2, Clinton Township, MI 48036-1030 |
| Amanda Glaros | Clinical Social Worker | County of Macomb | 43740n Groesbeck Hwy, Clinton Township, MI 48036-1139 |
| Hemlatta C Desai | Family Medicine | Mycare Health Center | 43740 N Groesbeck Hwy, Clinton Township, MI 48036-1139 |
| Teresa M Chahine | Nurse Practitioner | County of Macomb | 43740 N Groesbeck Hwy, Clinton Township, MI 48036-1139 |
| Alison Owens | Clinical Social Worker | County of Macomb | 43740 N Groesbeck Hwy, Clinton Township, MI 48036-1139 |
| Natraj Sitaram | Psychiatry | County of Macomb | 43740 N Groesbeck Hwy, Clinton Township, MI 48036-1139 |
| Don Smith | Psychiatry | County of Macomb | 43740 N Groesbeck Hwy, Clinton Township, MI 48036-1139 |
| Majid Pezhman | Psychiatry | County of Macomb | 43740 N Groesbeck Hwy, Clinton Township, MI 48036-1139 |
| Linda A Burton | Clinical Social Worker | County of Macomb | 43740 N Groesbeck Hwy, Clinton Township, MI 48036-1139 |
| Kenneth Mancini | Clinical Social Worker | County of Macomb | 43740 N Groesbeck Hwy, Clinton Township, MI 48036-1139 |
| Find all physicians in zip 48036 | |||
| City | CLINTON TOWNSHIP |
| Zip Code | 48036 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CLINTON TOWNSHIP + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kavyashri Kodlipet Jagadeesh.
| 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.