Lydia C Ditirro, DO | |
3901 Chrysler Service Dr, Tolan Park, Detroit, MI 48201-2167 | |
(313) 993-3434 | |
(313) 993-3421 |
Full Name | Lydia C Ditirro |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 3901 Chrysler Service Dr, 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 |
---|---|---|---|
1285950212 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 5101019495 (Michigan) | Primary |
Entity Name | Henry Ford Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
Entity Name | The Wellness Plan Medical Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043373244 PECOS PAC ID: 1052380201 Enrollment ID: O20040925000098 |
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 |
Entity Name | Commerce Psychiatric Services Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134203896 PECOS PAC ID: 6204923519 Enrollment ID: O20071102000660 |
Mailing Address | Practice Location Address |
---|---|
Lydia C Ditirro, DO 1560 E Maple Rd, Suite 400 - Credentialing Dept, Troy, MI 48083-1138 Ph: (313) 993-3434 | Lydia C Ditirro, DO 3901 Chrysler Service Dr, Tolan Park, Detroit, MI 48201-2167 Ph: (313) 993-3434 |
Geoffrey Ross Barger, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4201 St Antoine, Suite 8d, Detroit, MI 48201 Phone: 313-745-4275 Fax: 313-745-4468 | |
Dr. Anjali Thakrar, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2799 W. Grand Blvd, Detroit, MI 48202 Phone: 800-436-7936 | |
Dr. Zahid Iqbal, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd Ste K-11, Detroit, MI 48202 Phone: 313-916-7205 | |
Arun K. Chandok, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 Fax: 313-916-3235 | |
Elizabeth J. Angus, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Phone: 313-916-2436 | |
Dr. Chandan Bharat Mehta, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Henry Ford Hospital, Detroit, MI 48202 Phone: 313-916-1601 | |
Dr. Camilo Andres Guzman, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-874-6611 |