J Edson Pontes, MD | |
4100 John R St, Detroit, MI 48201-2013 | |
(800) 527-6266 | |
(313) 966-8207 |
Full Name | J Edson Pontes |
---|---|
Gender | Male |
Speciality | Urology |
Location | 4100 John R St, Detroit, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285681981 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 4301031303 (Michigan) | Primary |
Entity Name | University Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518 |
Mailing Address | Practice Location Address |
---|---|
J Edson Pontes, MD 400 Mack Blvd, Ste 2 West Credentialing Dept, Detroit, MI 48201-2153 Ph: (313) 448-9006 | J Edson Pontes, MD 4100 John R St, Detroit, MI 48201-2013 Ph: (800) 527-6266 |
Ray H. Littleton, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Phone: 313-916-2436 | |
Nabeel Ahmad Shakir, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 800-653-6568 Fax: 313-876-1305 | |
Dr. Sohrab Arora, M.CH. Urology Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Henry Ford Hospital, Medical Education Department, Detroit, MI 48202 Phone: 313-916-2600 | |
Hans J. Stricker, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 Fax: 313-916-1462 | |
Kandis K. Rivers, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Phone: 313-916-2436 | |
John Cochrane, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 4201 Saint Antoine St, Suite 7c-uhc, Detroit, MI 48201 Phone: 313-577-4937 Fax: 313-577-5217 | |
Dr. Ali A Dabaja, M.D Urology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, K9, Detroit, MI 48202 Phone: 313-916-2066 |