Israa Oday Ghanim Al-gburi, MD | |
44405 Woodward Ave, H-23, St. Joseph Mercy Oakland, Pontiac, MI 48341 | |
(206) 612-6626 | |
Not Available |
Full Name | Israa Oday Ghanim Al-gburi |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 44405 Woodward Ave, H-23, Pontiac, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144757949 | NPI | - | NPPES |
264910428 | Other | IN | MEDICARE PTAN |
300078980 | Medicaid | IN | |
183380159 | Other | IN | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 01090931A (Indiana) | Secondary |
207R00000X | Internal Medicine | IN PROCESS (Michigan) | Primary |
Entity Name | University Medical Diagnostic Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861441537 PECOS PAC ID: 3375446347 Enrollment ID: O20040202000510 |
Entity Name | Johnson Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346248986 PECOS PAC ID: 8527972595 Enrollment ID: O20040316000585 |
Entity Name | Indiana University Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376586719 PECOS PAC ID: 2365350675 Enrollment ID: O20040407000695 |
Entity Name | Indiana University Health Care Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
Mailing Address | Practice Location Address |
---|---|
Israa Oday Ghanim Al-gburi, MD 4045 Linkwood Drive, Apt # 724, Houston, TX 77025 Ph: (206) 612-6626 | Israa Oday Ghanim Al-gburi, MD 44405 Woodward Ave, H-23, St. Joseph Mercy Oakland, Pontiac, MI 48341 Ph: (206) 612-6626 |
Judie R. Goodman, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Iha Hematology Oncology Oakland, 44405 Woodward Avenue, Suite 202, Pontiac, MI 48341 Phone: 248-858-2270 Fax: 248-335-6171 | |
Dr. Kalyana S Ramamurthi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 44200 Woodward Ave, Suie 209, Pontiac, MI 48341 Phone: 248-253-0330 Fax: 248-253-1982 | |
Dr. Ravinder Kamal Singala, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3000 | |
Dr. Fahd Al-saghir, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 44200 Woodward Ave, Suite 209, Pontiac, MI 48341 Phone: 248-253-0330 Fax: 248-253-1982 | |
Dr. Matthew Lee Edwards, D.O, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5000 | |
Athanasios Garbis, DPM Internal Medicine Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5392 | |
Dr. Aayushman Misra, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, St. Joseph Mercy Oakland, Pontiac, MI 48341 Phone: 248-495-6470 |