Mark Flajole, MD | |
24500 Northwestern Hwy, Southfield, MI 48075-2414 | |
(248) 353-1280 | |
(248) 353-6193 |
Full Name | Mark Flajole |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 24500 Northwestern Hwy, Southfield, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508907312 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 71967 (Georgia) | Primary |
Entity Name | The Emory Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
Entity Name | Emory Medical Care Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
Entity Name | Clinch County Hospital Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861478851 PECOS PAC ID: 7416849922 Enrollment ID: O20040329000922 |
Mailing Address | Practice Location Address |
---|---|
Mark Flajole, MD 24500 Northwestern Hwy, Southfield, MI 48075-2414 Ph: (248) 353-1280 | Mark Flajole, MD 24500 Northwestern Hwy, Southfield, MI 48075-2414 Ph: (248) 353-1280 |
Anicia Mirchandani, Radiology Medicare: Medicare Enrolled Practice Location: 22250 Providence Dr, Southfield, MI 48075 Phone: 248-849-3281 | |
Carole Roseland, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 24500 Northwestern Hwy, Southfield, MI 48075 Phone: 248-353-1280 Fax: 248-353-6193 | |
Kyle Warwick Eaton, MD Radiology Medicare: Medicare Enrolled Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-2203 Fax: 248-849-5395 | |
Dr. Matthew Howard Greenspan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Maria Crumes, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 24681 Northwestern Hwy, Southfield, MI 48075 Phone: 248-352-2000 Fax: 248-324-1477 | |
Jessica Marie Kaniowski, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Dr. Rani Bashiti, Radiology Medicare: Accepting Medicare Assignments Practice Location: 16001 W. 9 Mild Rd,, Southfield, MI 48075 Phone: 248-849-3000 |