Adolfo Melicor, MD | |
24681 Northwestern Hwy, Ste1, Southfield, MI 48075-2305 | |
(248) 352-2000 | |
(248) 352-8800 |
Full Name | Adolfo Melicor |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 24681 Northwestern Hwy, Southfield, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528033503 | NPI | - | NPPES |
4794406 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 4301039154 (Michigan) | Primary |
Entity Name | Basha Diagnostics P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770693798 PECOS PAC ID: 5890681746 Enrollment ID: O20040226000460 |
Mailing Address | Practice Location Address |
---|---|
Adolfo Melicor, MD Po Box 1500, Novi, MI 48376-1500 Ph: (248) 324-0700 | Adolfo Melicor, MD 24681 Northwestern Hwy, Ste1, Southfield, MI 48075-2305 Ph: (248) 352-2000 |
Anicia Mirchandani, Radiology Medicare: Medicare Enrolled Practice Location: 22250 Providence Dr, Southfield, MI 48075 Phone: 248-849-3281 | |
Carole Roseland, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 24500 Northwestern Hwy, Southfield, MI 48075 Phone: 248-353-1280 Fax: 248-353-6193 | |
Kyle Warwick Eaton, MD Radiology Medicare: Medicare Enrolled Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-2203 Fax: 248-849-5395 | |
Dr. Matthew Howard Greenspan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Maria Crumes, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 24681 Northwestern Hwy, Southfield, MI 48075 Phone: 248-352-2000 Fax: 248-324-1477 | |
Jessica Marie Kaniowski, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Dr. Rani Bashiti, Radiology Medicare: Accepting Medicare Assignments Practice Location: 16001 W. 9 Mild Rd,, Southfield, MI 48075 Phone: 248-849-3000 |