Shashi K Madan, MD | |
Harper Hospital Pathology, 3990 John R, Detroit, MI 48201-2097 | |
(313) 745-8555 | |
(313) 745-9299 |
Full Name | Shashi K Madan |
---|---|
Gender | Female |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | Harper Hospital Pathology, 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 |
---|---|---|---|
1851338842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 4301043594 (Michigan) | Primary |
Entity Name | North Oakland Gastroenterology Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376764019 PECOS PAC ID: 7315991577 Enrollment ID: O20050310000208 |
Entity Name | University Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518 |
Entity Name | Michigan Diagnostic Pathologists Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578734281 PECOS PAC ID: 9739253279 Enrollment ID: O20080801000275 |
Mailing Address | Practice Location Address |
---|---|
Shashi K Madan, MD 1560 E Maple Rd, Suite 400-credentialing, Troy, MI 48083-1138 Ph: (313) 745-8555 | Shashi K Madan, MD Harper Hospital Pathology, 3990 John R, Detroit, MI 48201-2097 Ph: (313) 745-8555 |
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: Medicare Enrolled Practice Location: Harper Hospital Pathology, 3990 John R, Detroit, MI 48201 Phone: 313-745-8555 |