Paul F Mazzara, MD | |
22101 Moross Rd, Detroit, MI 48236-2148 | |
(313) 343-4000 | |
(313) 881-4727 |
Full Name | Paul F Mazzara |
---|---|
Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 22101 Moross Rd, 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 |
---|---|---|---|
1952415887 | NPI | - | NPPES |
4618178 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZC0500X | Pathology - Cytopathology | 4301051595 (Michigan) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 4301051595 (Michigan) | Primary |
Entity Name | Michigan Healthcare Professionals Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295023547 PECOS PAC ID: 0345413258 Enrollment ID: O20111109000027 |
Mailing Address | Practice Location Address |
---|---|
Paul F Mazzara, MD 5700 Southwyck Blvd, Toledo, OH 43614-1509 Ph: (800) 288-8325 | Paul F Mazzara, MD 22101 Moross Rd, Detroit, MI 48236-2148 Ph: (313) 343-4000 |
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 | |
Nazila Azordegan, Pathology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 800-653-6568 | |
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 |