Paul Leonard Kudla, MD | |
22101 Moross Rd, Professional Building 2, Suite 50, Detroit, MI 48236 | |
(734) 771-3110 | |
Not Available |
Full Name | Paul Leonard Kudla |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 8 Years |
Location | 22101 Moross Rd, Detroit, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477904142 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301116901 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension St John Hospital | Detroit, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ascension St John Hospital | 3173424082 | 279 |
Entity Name | Ascension St John Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
Mailing Address | Practice Location Address |
---|---|
Paul Leonard Kudla, MD 22101 Moross Rd, Professional Building 2, Suite 50, Detroit, MI 48236-2148 Ph: (313) 343-7774 | Paul Leonard Kudla, MD 22101 Moross Rd, Professional Building 2, Suite 50, Detroit, MI 48236 Ph: (734) 771-3110 |
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