Dr Kamal S Hasan, MD | |
1260 N Irish Rd, Suite A, Davison, MI 48423-2213 | |
(810) 658-9550 | |
(810) 658-2202 |
Full Name | Dr Kamal S Hasan |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1260 N Irish Rd, Davison, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427150168 | NPI | - | NPPES |
4667501 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301063221 (Michigan) | Primary |
Entity Name | Davison Pediatrics Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609165646 PECOS PAC ID: 7517145816 Enrollment ID: O20110708000159 |
Mailing Address | Practice Location Address |
---|---|
Dr Kamal S Hasan, MD 3495 S Center Rd, Burton, MI 48519-1455 Ph: (810) 424-2007 | Dr Kamal S Hasan, MD 1260 N Irish Rd, Suite A, Davison, MI 48423-2213 Ph: (810) 658-9550 |
Dr. Kenneth E. Vobach, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 110 East Third Street, Davison, MI 48423 Phone: 810-412-5437 Fax: 810-412-5448 | |
Dr. Amanda L. Winston, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 9040 Davison Rd, Davison, MI 48423 Phone: 810-412-5700 Fax: 810-412-5755 | |
Joseph B. Luna, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1510 S State Rd, Suite A, Davison, MI 48423 Phone: 810-658-8343 Fax: 810-658-3743 |