Nazila Azordegan, | |
2799 W Grand Blvd, Detroit, MI 48202-2608 | |
(800) 653-6568 | |
Not Available |
Full Name | Nazila Azordegan |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 27 Years |
Location | 2799 W Grand Blvd, Detroit, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003589656 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0101X | Pathology - Anatomic Pathology | C168920 (California) | Secondary |
207ZP0101X | Pathology - Anatomic Pathology | 4301505330 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Henry Ford Hospital | Detroit, MI | Hospital |
Henry Ford Macomb Hospital | Clinton township, MI | Hospital |
Henry Ford Wyandotte Hospital | Wyandotte, MI | Hospital |
Henry Ford West Bloomfield Hospital | West bloomfield, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Henry Ford Medical Group | 0547178311 | 2124 |
Henry Ford Pathology | 6406953439 | 16 |
Entity Name | Henry Ford Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
Entity Name | W.a. Foote Memorial Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760437826 PECOS PAC ID: 0244136067 Enrollment ID: O20031212000691 |
Entity Name | Henry Ford Pathology |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851410005 PECOS PAC ID: 6406953439 Enrollment ID: O20070525000207 |
Mailing Address | Practice Location Address |
---|---|
Nazila Azordegan, 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (800) 653-6568 | Nazila Azordegan, 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (800) 653-6568 |
Mohammad Raoufi, MD Pathology Medicare: Medicare Enrolled Practice Location: Henry Ford Hospital, 2799 W Grand Boulevard, Detroit, MI 48202 Phone: 313-916-4027 | |
Eleftherios Vouyoukas, MD, MSC Pathology Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4000 | |
Koichi Maeda, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2799 W Grand Blvd, 2799 West Grand Boulevard, Detroit, MI 48202 Phone: 313-916-2436 | |
Daniel P Snower, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4000 Fax: 313-881-4727 | |
Fulvio Lonardo, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3990 John R St, Harper Hospital Pathology, Detroit, MI 48201 Phone: 313-745-8555 Fax: 313-745-9299 | |
Mousa Ali Al-abbadi, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: Harper Hospital Pathology, 3990 John R, Detroit, MI 48201 Phone: 313-745-8555 |