Shanthi Gopal, MD | |
Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | |
(313) 916-9106 | |
(313) 916-1249 |
Full Name | Shanthi Gopal |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | Henry Ford Health System, 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 |
---|---|---|---|
1205989753 | NPI | - | NPPES |
SG083159 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
SG083159 | Other | CHAMPUS-CHAMPUS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301083159 (Michigan) | Primary |
Entity Name | State Of Michigan Office Of Financial Management |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710989298 PECOS PAC ID: 5496650723 Enrollment ID: O20040612000494 |
Mailing Address | Practice Location Address |
---|---|
Shanthi Gopal, MD Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Ph: (313) 916-9106 | Shanthi Gopal, MD Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Ph: (313) 916-9106 |
Dr. Fadl A Chokr, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
James Choi, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 11260 E Jefferson Ave, Detroit, MI 48214 Phone: 313-749-0148 | |
Arnel V. Clarin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Henry Ford Health System, 1151 Taylor, Detroit, MI 48202 Phone: 313-823-9800 | |
Dr. Lauren Alicia Robinson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6150 Cadieux Rd, Detroit, MI 48224 Phone: 313-398-2800 Fax: 313-649-4855 | |
Robert Nmn Sims, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9150 Linwood Ave, Detroit, MI 48206 Phone: 313-895-6605 Fax: 313-895-6530 | |
Kimberly M. Winston Matthews, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Henry Ford Health System, 4401 Conner, Detroit, MI 48215 Phone: 313-823-9800 Fax: 313-823-9883 | |
Peter G. Coggan, M.D.MSED Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Phone: 313-916-2436 |