Fawwaz Humayun, MD | |
2799 W Grand Blvd, Detroit, MI 48202-2608 | |
(313) 916-2600 | |
Not Available |
Full Name | Fawwaz Humayun |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 22 Years |
Location | 2799 W Grand Blvd, Detroit, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417966003 | NPI | - | NPPES |
00A1054640 | Medicaid | CA | |
490636010 | Medicaid | MI | |
FH081942 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
700H262220 | Other | BLUE CROSS-BLUE CROSS | |
FH081942 | Other | CHAMPUS-CHAMPUS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A105464 (California) | Secondary |
208M00000X | Hospitalist | 4301081942 (Michigan) | Secondary |
207R00000X | Internal Medicine | 4301081942 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Henry Ford West Bloomfield Hospital | West bloomfield, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Henry Ford Medical Group | 0547178311 | 2124 |
Entity Name | Henry Ford Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
Mailing Address | Practice Location Address |
---|---|
Fawwaz Humayun, MD 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (313) 916-2600 | Fawwaz Humayun, MD 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (313) 916-2600 |
Dr. Saba Alan Francis, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 50 E Canfield St, Detroit, MI 48201 Phone: 313-745-4525 | |
Dr. Roopkiranjot Kahlon, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4201 Saint Antoine St, University Health Center 2e, Detroit, MI 48201 Phone: 313-745-4525 | |
Avi Cohen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Waleed Obaid, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-966-3250 | |
Lindsey Aurora, Internal Medicine Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Alexander Garbarino, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Maria Diab, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 800-653-6568 Fax: 313-876-1305 |