Anthony L Kudirka, MD | |
1000 Harrington St, Mount Clemens, MI 48043-2920 | |
(586) 493-8098 | |
(586) 493-8706 |
Full Name | Anthony L Kudirka |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 1000 Harrington St, Mount Clemens, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114955838 | NPI | - | NPPES |
310E011330 | Other | MI | BCBS GROUP# |
4085418 | Medicaid | MI | |
300119457 | Other | MI | MEDICARE RR PIN |
3005011962 | Other | MI | BCBS INDIVIDUAL # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 4301050082 (Michigan) | Primary |
Entity Name | General Radiology Associates, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801801519 PECOS PAC ID: 4981518644 Enrollment ID: O20031117000659 |
Entity Name | Nds Radiology Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649418211 PECOS PAC ID: 2062408875 Enrollment ID: O20090512000117 |
Entity Name | Ain Imaging Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437441714 PECOS PAC ID: 1355513003 Enrollment ID: O20111003000075 |
Mailing Address | Practice Location Address |
---|---|
Anthony L Kudirka, MD Po Box 1108, Attn: Barb Simmons, Ann Arbor, MI 48106-1108 Ph: (734) 677-7400 | Anthony L Kudirka, MD 1000 Harrington St, Mount Clemens, MI 48043-2920 Ph: (586) 493-8098 |
Dr. Affaan Khan Bangash, DO Radiology Medicare: May Accept Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 630-776-3318 | |
Surender Kurapati, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8098 Fax: 586-493-8706 | |
Timothy P Pierron, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8098 Fax: 586-793-8706 | |
Jeremy S Kendra, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8098 Fax: 586-493-8706 | |
Dr. Tejas Ajay Dalal, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 734-677-7400 | |
George L. Figacz, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Radiology Dept, Mount Clemens, MI 48043 Phone: 586-493-8098 |