Irfan Mamoun, MD | |
36175 Harper Ave, Clinton Township, MI 48035-3274 | |
(586) 741-3772 | |
Not Available |
Full Name | Irfan Mamoun |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 36175 Harper Ave, Clinton Township, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861637811 | NPI | - | NPPES |
4301038517 | Other | MI | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | ME141698 (Florida) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 4301038517 (Michigan) | Primary |
Entity Name | Columbus Radiology Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669408159 PECOS PAC ID: 6507754983 Enrollment ID: O20040308000742 |
Entity Name | F&s Radiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518299957 PECOS PAC ID: 0244368868 Enrollment ID: O20100628000202 |
Entity Name | Mercy Health Physicians Youngstown Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835 |
Mailing Address | Practice Location Address |
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Irfan Mamoun, MD 22550 Bard Ave, Fairview Park, OH 44126-2907 Ph: (440) 378-4186 | Irfan Mamoun, MD 36175 Harper Ave, Clinton Township, MI 48035-3274 Ph: (586) 741-3772 |
Kyoung Soo Bae, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 36175 Harper Ave, Clinton Township, MI 48035 Phone: 586-741-3772 Fax: 586-741-4604 | |
Michael P. Trpkovski, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 36175 Harper Ave, Clinton Township, MI 48035 Phone: 586-464-0740 | |
Cadie Lee Cunningham, Radiology Medicare: Not Enrolled in Medicare Practice Location: 38654 Bay Ln, Clinton Township, MI 48038 Phone: 586-854-2533 | |
Rojanandham Samudrala, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 36175 Harper Ave, Clinton Township, MI 48035 Phone: 586-741-3772 Fax: 586-741-4604 | |
Mrs. Cynthia Marie Wheeler, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 36175 Harper Ave, Clinton Township, MI 48035 Phone: 586-741-3772 Fax: 586-741-4604 | |
Anthony P Munaco, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 36175 Harper Ave, Clinton Township, MI 48035 Phone: 586-741-3772 Fax: 586-741-4604 | |
Prof. Victor Maldonado, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 36175 Harper Ave, Clinton Township, MI 48035 Phone: 586-741-3772 Fax: 586-741-4604 |