Dr Mahdi Abdelatif Shkoukani, M,D | |
18101 Oakwood Blvd, Suite 402, Dearborn, MI 48124-4089 | |
(313) 253-0800 | |
(313) 577-8555 |
Full Name | Dr Mahdi Abdelatif Shkoukani |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 18101 Oakwood Blvd, Dearborn, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578764551 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0122X | Surgery - Plastic And Reconstructive Surgery | 4301086194 (Michigan) | Secondary |
207Y00000X | Otolaryngology | 4301086194 (Michigan) | Primary |
Entity Name | University Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518 |
Mailing Address | Practice Location Address |
---|---|
Dr Mahdi Abdelatif Shkoukani, M,D 1420 Stephenson Hwy, Suite 400-credentialing, Troy, MI 48083-1189 Ph: (248) 581-5974 | Dr Mahdi Abdelatif Shkoukani, M,D 18101 Oakwood Blvd, Suite 402, Dearborn, MI 48124-4089 Ph: (313) 253-0800 |
Dr. Roger Sabah Toma, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2421 Monroe St, Suite 201, Dearborn, MI 48124 Phone: 313-562-4100 | |
Mitchell Arnold, MD, MPH Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 262-951-1706 | |
Nouha Alammar, D.O Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 24530 Michigan Ave, Dearborn, MI 48124 Phone: 313-681-5300 Fax: 313-749-7882 | |
Dr. Michael Adelard Carron, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5250 Auto Club Dr Ste 290a, Dearborn, MI 48126 Phone: 313-448-9220 | |
Mr. Mark Sabah Toma, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2421 Monroe St, Suite 201, Dearborn, MI 48124 Phone: 313-562-4100 Fax: 313-562-4590 | |
Dr. Ariel Andre Waitzman, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 22731 Newman Street, Ste 120, Dearborn, MI 48124 Phone: 313-582-8853 Fax: 313-582-6417 | |
Werner C. Roennecke, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: Henry Ford Health System, 19401 Hubbard Drive, Dearborn, MI 48126 Phone: 313-982-8330 Fax: 313-982-8294 |