Dr Dawood Ghassan Dalaly, MS, DO | |
33155 Annapolis St, Wayne, MI 48184-2405 | |
(734) 467-4000 | |
Not Available |
Full Name | Dr Dawood Ghassan Dalaly |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 17 Years |
Location | 33155 Annapolis St, Wayne, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558568733 | NPI | - | NPPES |
1558568733 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0102X | Surgery - Surgical Critical Care | 5101017324 (Michigan) | Primary |
208600000X | Surgery | 5101017324 (Michigan) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Beaumont Hospital - Wayne | Wayne, MI | Hospital |
Beaumont Hospital - Trenton | Trenton, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Critical Care Medicine Partners, Pc | 3779474614 | 9 |
Entity Name | Henry Ford Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
Entity Name | Critical Care Medicine Partners, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437120185 PECOS PAC ID: 3779474614 Enrollment ID: O20040322000966 |
Mailing Address | Practice Location Address |
---|---|
Dr Dawood Ghassan Dalaly, MS, DO 3632 Pheasant Run, Bloomfield Hills, MI 48302-1245 Ph: (248) 514-8225 | Dr Dawood Ghassan Dalaly, MS, DO 33155 Annapolis St, Wayne, MI 48184-2405 Ph: (734) 467-4000 |
Dr. Vishnu Teja Pemmaraju, MD Surgery Medicare: Medicare Enrolled Practice Location: 3106 S Wayne Rd, Wayne, MI 48184 Phone: 734-722-6300 Fax: 734-722-4815 | |
Adewunmi Adeyemo, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3106 S Wayne Rd, Wayne, MI 48184 Phone: 734-722-6300 Fax: 734-722-4815 | |
Tucker Gisler Jennings, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 33101 Annapolis St Ste 100, Wayne, MI 48184 Phone: 734-467-2670 |