Renato S Casabar, MD | |
22201 Moross Rd, 270, Detroit, MI 48236-2169 | |
(313) 343-3481 | |
(313) 343-7937 |
Full Name | Renato S Casabar |
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Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 22201 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 |
---|---|---|---|
1063406635 | NPI | - | NPPES |
1555092 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 4301043390 (Michigan) | Primary |
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 |
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Renato S Casabar, MD 43800 Garfield Rd, Clinton Twp, MI 48038-1136 Ph: (800) 848-0202 | Renato S Casabar, MD 22201 Moross Rd, 270, Detroit, MI 48236-2169 Ph: (313) 343-3481 |
Dr. Ijeoma Nnodim Opara, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4201 St. Antoine Ste 6a & 6b, General Medicine Ambulatory Practice, Detroit, MI 48201 Phone: 313-745-4627 Fax: 313-966-7305 | |
Dr. Alissa M Martin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Beaubien, Children's Hospital Of Mi, Detroit, MI 48201 Phone: 313-745-5515 Fax: 313-745-5237 | |
Norimitsu Kuwabara, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Children's Specialty Center, 3950 Beaubien, Detroit, MI 48201 Phone: 313-745-5906 Fax: 313-745-0955 | |
Karolina Maksimowski, Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-745-5260 Fax: 313-966-0665 | |
Raffat A. Siddiqi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Henry Ford Medical Group - Detroit Northwest, 7800 W Outer Drive, Detroit, MI 48235 Phone: 313-653-2500 Fax: 313-653-2555 | |
Dr. Rupa Thacker, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-745-5533 | |
Joshua Kim, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-745-5870 |