| Jerry W Drake, MD | |
|
840 Oakwood Blvd, Dearborn, MI 48124-2319 | |
| (313) 359-7650 | |
| (313) 359-7660 |
| Full Name | Jerry W Drake |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 840 Oakwood Blvd, Dearborn, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023055969 | NPI | - | NPPES |
| 1545891 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 4301045887 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry W Drake, MD Po Box 2802, Dearborn, MI 48123-2929 Ph: (313) 359-7650 | Jerry W Drake, MD 840 Oakwood Blvd, Dearborn, MI 48124-2319 Ph: (313) 359-7650 |
Frankju A Arevalo, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 | |
Dr. Rohan Lalith Deraniyagala, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 248-551-5490 | |
Hassan Hamadi, DO Radiology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 | |
Joon K Kim, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 | |
Jeffery Michael Holton, MD Radiology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Gme Office, Dearborn, MI 48124 Phone: 313-593-7000 | |
Dr. Michael Walter Ramalia Jr., DO Radiology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 |