Dr Ifeoma N Kamalu, MD | |
7300 N Canton Center Rd, Canton, MI 48187-1579 | |
(734) 454-8002 | |
(734) 454-2733 |
Full Name | Dr Ifeoma N Kamalu |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 7300 N Canton Center Rd, Canton, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346410479 | NPI | - | NPPES |
12367308 | Other | MI | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 4301087974 (Michigan) | Primary |
Entity Name | Sparrow Clinton Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396827952 PECOS PAC ID: 5395658850 Enrollment ID: O20031111000063 |
Entity Name | Degara App Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265976971 PECOS PAC ID: 7618251398 Enrollment ID: O20170223001941 |
Mailing Address | Practice Location Address |
---|---|
Dr Ifeoma N Kamalu, MD 38935 Ann Arbor Rd, Credentialing/payer Enrollment, Livonia, MI 48150-3397 Ph: (734) 632-0175 | Dr Ifeoma N Kamalu, MD 7300 N Canton Center Rd, Canton, MI 48187-1579 Ph: (734) 454-8002 |
Dr. John R Collop, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7300 N Canton Center Rd, Emergency Medicine Dept, Canton, MI 48187 Phone: 734-454-8002 Fax: 734-454-2733 | |
Dr. Chada Natalie Reddy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7300 Canton Center Road, Emergency Medicine Department, Canton, MI 48187 Phone: 734-454-8002 Fax: 734-454-2733 | |
Dr. Jill Angela Ward, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5816 N Sheldon Rd, Canton, MI 48187 Phone: 858-775-1700 | |
Asad Mahmoud Tarsin, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7300 N Canton Center Rd, Canton, MI 48187 Phone: 734-454-8001 | |
Dr. David Weaver, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7300 N Canton Center Rd, Emergency Medicine Department, Canton, MI 48187 Phone: 734-454-8002 Fax: 734-454-2733 | |
Dr. Tracey Lynne Venning, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1600 S Canton Center Rd, Canton, MI 48188 Phone: 734-844-8743 Fax: 734-844-8744 |