Dr Richard Nivala, MD | |
5623 E Dunbar Rd, Monroe, MI 48161-9127 | |
(734) 241-3891 | |
(734) 241-0014 |
Full Name | Dr Richard Nivala |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 5623 E Dunbar Rd, Monroe, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750304762 | NPI | - | NPPES |
105191943 | Medicaid | MI | |
P00606310 | Other | MI | RAILROAD MEDICARE - INDIV |
CA3050 | Other | MI | RAILROAD MEDICARE - GROUP |
RN027018 | Other | MI | INITIALS AND LIC # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 4301027018 (Michigan) | Primary |
Entity Name | Anesthesia Professional Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750304622 PECOS PAC ID: 8527952092 Enrollment ID: O20040214000198 |
Mailing Address | Practice Location Address |
---|---|
Dr Richard Nivala, MD 5623 E Dunbar Rd, Monroe, MI 48161-9127 Ph: (734) 241-3891 | Dr Richard Nivala, MD 5623 E Dunbar Rd, Monroe, MI 48161-9127 Ph: (734) 241-3891 |
Lesly Pompy, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 730 N Macomb St, Suite 410, Monroe, MI 48162 Phone: 734-242-9482 Fax: 734-242-6503 | |
Jayashree Aithal, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 740 N Macomb St, Monroe, MI 48162 Phone: 734-240-5238 Fax: 734-240-5273 | |
Hany H Isak, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 740 N Macomb St, Monroe, MI 48162 Phone: 734-240-5238 Fax: 734-240-5273 | |
Blessing B Nwosu, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 740 N Macomb St, Monroe, MI 48162 Phone: 734-240-5238 Fax: 734-240-5273 | |
Anupama A Shah, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 740 N Macomb St, Monroe, MI 48162 Phone: 734-240-5238 Fax: 734-240-5273 | |
Taufiek Alhadi, D.O. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: Po Box 1904, Monroe, MI 48161 Phone: 313-580-9501 |