Dr Fawaz Al-ejel, MD | |
24623 Greenfield Rd, Southfield, MI 48075-3058 | |
(248) 290-3111 | |
(248) 290-3100 |
Full Name | Dr Fawaz Al-ejel |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 36 Years |
Location | 24623 Greenfield Rd, Southfield, 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 |
---|---|---|---|
1871567651 | NPI | - | NPPES |
3482020 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 4301056772 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southfield West Dialysis Of Davita | Southfield, MI | Dialysis facility |
Novi Dialysis Center Of Davita | Novi, MI | Dialysis facility |
Cornerstone Dialysis Of Davita | Southfield, MI | Dialysis facility |
Brighton Dialysis Of Davita | Brighton, MI | Dialysis facility |
Ascension Providence Hospital, Southfield And Novi | Southfield, MI | Hospital |
Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Michigan Kidney Consultants, P.c. | 1052207115 | 39 |
Entity Name | Michigan Kidney Consultants, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831130723 PECOS PAC ID: 1052207115 Enrollment ID: O20040225000631 |
Mailing Address | Practice Location Address |
---|---|
Dr Fawaz Al-ejel, MD Po Box 77000 Department 771267, Detroit, MI 48277-1267 Ph: (248) 290-3111 | Dr Fawaz Al-ejel, MD 24623 Greenfield Rd, Southfield, MI 48075-3058 Ph: (248) 290-3111 |
Surinder Mendiratta, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 20905 Greenfield Rd, Suite 502, Southfield, MI 48075 Phone: 248-395-2888 Fax: 248-395-2891 | |
Dr. Freddy R Sosa, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 22250 Providence Dr, Suite 703, Southfield, MI 48075 Phone: 248-569-1770 Fax: 248-443-2439 | |
Kun Kil Yu, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 19189 W 10 Mile Rd, Ste 200, Southfield, MI 48075 Phone: 248-948-7985 Fax: 248-948-9031 | |
Dr. Vilma Drelichman, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 22301 Foster Winter Dr, 2nd Floor, Southfield, MI 48075 Phone: 248-552-0620 Fax: 248-552-0286 | |
Dr. Sumner Camisa, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 29829 Telegraph Road, #100, Southfield, MI 48034 Phone: 248-355-3033 Fax: 248-355-4936 | |
Talal Taher Khader, M.D Nephrology Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, 4th Fl Fisher Ctr, Southfield, MI 48075 Phone: 248-849-8483 | |
Dr. Herman Kado, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 28625 Northwestern Hwy, Suite 150, Southfield, MI 48034 Phone: 248-587-2300 Fax: 248-945-0492 |