David Alejandro Rico Mora, MD | |
2799 W Grand Blvd, Detroit, MI 48202-2608 | |
(313) 916-8445 | |
(313) 916-9434 |
Full Name | David Alejandro Rico Mora |
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Gender | Male |
Speciality | Anesthesiology |
Location | 2799 W Grand Blvd, Detroit, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760867261 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 4301108009 (Michigan) | Primary |
Entity Name | Childrens Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912939703 PECOS PAC ID: 0244143170 Enrollment ID: O20031107000130 |
Mailing Address | Practice Location Address |
---|---|
David Alejandro Rico Mora, MD 1118 N Campbell Rd Apt 221, Royal Oak, MI 48067-1541 Ph: (786) 556-2065 | David Alejandro Rico Mora, MD 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (313) 916-8445 |
Mousab Eteer, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 800-653-6568 | |
Chisaokwu Duru, Anesthesiology Medicare: Medicare Enrolled Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-7233 | |
Dr. Puja Laroia, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 4201 Saint Antoine St, Detroit, MI 48201 Phone: 313-745-5146 | |
Dr. Daniel S Rana, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4000 | |
Dr. Samir F Fuleihan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-8521 | |
Dr. Srilatha Mallu, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Henry Ford Hospital, Detroit, MI 48202 Phone: 313-916-4872 | |
Muthuvasuki Veerappan, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 7733 E Jefferson Ave, Detroit, MI 48214 Phone: 313-499-4254 |