Dr Luis Gaspar Maduro Jr, MD | |
18161 W 13 Mile Rd, Southfield, MI 48076 | |
(248) 480-4183 | |
(248) 792-2631 |
Full Name | Dr Luis Gaspar Maduro Jr |
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Gender | Male |
Speciality | Family Medicine |
Location | 18161 W 13 Mile Rd, Southfield, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1881813079 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 12074 (Puerto Rico) | Primary |
Entity Name | Dhhs,phs,naihs, Gallup Indian Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
Mailing Address | Practice Location Address |
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Dr Luis Gaspar Maduro Jr, MD 18161 W 13 Mile Rd, Southfield, MI 48076-1113 Ph: (248) 480-4183 | Dr Luis Gaspar Maduro Jr, MD 18161 W 13 Mile Rd, Southfield, MI 48076 Ph: (248) 480-4183 |
Dr. Vikash Patel, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 22250 Providence Dr Ste 557, Southfield, MI 48075 Phone: 248-849-3447 Fax: 248-849-8021 | |
Braswell Drue Deen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22250 Providence Dr, 5th Floor.fl 5, Southfield, MI 48075 Phone: 248-849-3441 Fax: 248-849-5389 | |
Sylvia Kristine Hollowell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20905 Greenfield, #507, Southfield, MI 48075 Phone: 248-559-5640 Fax: 248-559-7945 | |
Katherine Cybinski, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22250 Providence Dr, Suite 500, Southfield, MI 48075 Phone: 248-849-3441 | |
Naushin Hossain, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22250 Providence Dr, Suite 500, Southfield, MI 48075 Phone: 248-849-3441 | |
Dr. Cheryl Lee Smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22250 Providence Dr, Suite 500, Southfield, MI 48075 Phone: 248-849-3441 | |
Dr. Camelia Loredana Salanta, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 26015 Greenfield Rd, Southfield, MI 48076 Phone: 248-552-7230 Fax: 248-552-7514 |