Dr Azadeh Khaghany, MD | |
313 Stewart Rd, Monroe, MI 48162-4393 | |
(734) 244-5560 | |
(734) 244-5078 |
Full Name | Dr Azadeh Khaghany |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 313 Stewart Rd, Monroe, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417065855 | NPI | - | NPPES |
104604584 | Medicaid | MI | |
AK070712 | Other | MI | BC/BS OF MICHIGAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301070712 (Michigan) | Primary |
Entity Name | Promedica Monroe Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194078055 PECOS PAC ID: 2365696176 Enrollment ID: O20130201000483 |
Mailing Address | Practice Location Address |
---|---|
Dr Azadeh Khaghany, MD 313 Stewart Rd, Monroe, MI 48162-4393 Ph: (734) 244-5560 | Dr Azadeh Khaghany, MD 313 Stewart Rd, Monroe, MI 48162-4393 Ph: (734) 244-5560 |
Dr. Basma Mohammed Abu-ashour, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 901 N Macomb St, Suite 109, Monroe, MI 48162 Phone: 734-243-2410 Fax: 734-384-2049 | |
Madaiah Kusuma-talakadu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 814 N Macomb St, Monroe, MI 48162 Phone: 734-243-5720 Fax: 734-243-9261 | |
Dr. Barbara Ann Davies, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1210 Frank Dr, Monroe, MI 48162 Phone: 734-242-1854 | |
Kanti Hiralal Shah, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 814 N Macomb St, Monroe, MI 48162 Phone: 734-243-5720 Fax: 734-243-9261 | |
Vijayalakshmi I Ranganatha, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 814 N Macomb St, Monroe, MI 48162 Phone: 734-243-5720 Fax: 734-243-9261 | |
Fatima B Hassan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1052 N Monroe St, Monroe, MI 48162 Phone: 734-242-9550 Fax: 734-242-2313 |