Rudolph P Valentini, MD | |
Childrens Hospital Of Michigan, 3901 Beaubien Blvd - Nephrology, Detroit, MI 48201 | |
(313) 745-5604 | |
(313) 966-0039 |
Full Name | Rudolph P Valentini |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Nephrology |
Location | Childrens Hospital Of Michigan, 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 |
---|---|---|---|
1164463600 | NPI | - | NPPES |
700H262280 | Other | BLUE CROSS-BLUE CROSS | |
RV060863 | Other | CHAMPUS-CHAMPUS | |
RV060863 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
339919310 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0210X | Pediatrics - Pediatric Nephrology | 4301060863 (Michigan) | Primary |
Entity Name | University Pediatricians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811920549 PECOS PAC ID: 9638070568 Enrollment ID: O20040115000125 |
Mailing Address | Practice Location Address |
---|---|
Rudolph P Valentini, MD 4201 St. Antoine - Uhc 5d Mailbox 226, University Pediatricians, Detroit, MI 48201-2153 Ph: (313) 745-4405 | Rudolph P Valentini, MD Childrens Hospital Of Michigan, 3901 Beaubien Blvd - Nephrology, Detroit, MI 48201 Ph: (313) 745-5604 |
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 |