Pavadee Poowuttikul, MD | |
3950 Beaubien - 3rd Fl, Childrens Hospital Of Mi, Detroit, MI 48201-2119 | |
(313) 832-8550 | |
(313) 993-8685 |
Full Name | Pavadee Poowuttikul |
---|---|
Gender | Female |
Speciality | Pediatric Medicine |
Experience | 19 Years |
Location | 3950 Beaubien - 3rd Fl, Detroit, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952582314 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301090387 (Michigan) | Secondary |
2080P0201X | Pediatrics - Pediatric Allergy/immunology | 4301090387 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Children's Hospital Of Michigan | Detroit, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Pediatricians | 9638070568 | 91 |
Entity Name | University Pediatricians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811920549 PECOS PAC ID: 9638070568 Enrollment ID: O20040115000125 |
Mailing Address | Practice Location Address |
---|---|
Pavadee Poowuttikul, MD 4201 St. Antoine - Uhc 5d Mailbox 226, University Pediatricians, Detroit, MI 48201-2153 Ph: (313) 745-4405 | Pavadee Poowuttikul, MD 3950 Beaubien - 3rd Fl, Childrens Hospital Of Mi, Detroit, MI 48201-2119 Ph: (313) 832-8550 |
Dr. Ijeoma Nnodim Opara, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4201 St. Antoine Ste 6a & 6b, General Medicine Ambulatory Practice, Detroit, MI 48201 Phone: 313-745-4627 Fax: 313-966-7305 | |
Dr. Alissa M Martin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Beaubien, Children's Hospital Of Mi, Detroit, MI 48201 Phone: 313-745-5515 Fax: 313-745-5237 | |
Norimitsu Kuwabara, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Children's Specialty Center, 3950 Beaubien, Detroit, MI 48201 Phone: 313-745-5906 Fax: 313-745-0955 | |
Karolina Maksimowski, Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-745-5260 Fax: 313-966-0665 | |
Raffat A. Siddiqi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Henry Ford Medical Group - Detroit Northwest, 7800 W Outer Drive, Detroit, MI 48235 Phone: 313-653-2500 Fax: 313-653-2555 | |
Dr. Rupa Thacker, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-745-5533 | |
Joshua Kim, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-745-5870 |