Shurook Sufian Elassouli, MD | |
6245 Inkster Rd, Garden City, MI 48135-4001 | |
(734) 458-4486 | |
Not Available |
Full Name | Shurook Sufian Elassouli |
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Gender | Female |
Speciality | Internal Medicine |
Location | 6245 Inkster Rd, Garden City, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1528683836 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 4351046252 (Michigan) | Primary |
Entity Name | Southeastern Physician Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
Mailing Address | Practice Location Address |
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Shurook Sufian Elassouli, MD 6245 Inkster Rd, Garden City, MI 48135-4001 Ph: (734) 458-4486 | Shurook Sufian Elassouli, MD 6245 Inkster Rd, Garden City, MI 48135-4001 Ph: (734) 458-4486 |
Dr. Bojan Jokic, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 6245 Inkster Rd, Garden City, MI 48135 Phone: 734-458-4486 Fax: 734-458-4496 | |
Dr. Hassan Khan, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6245 Inkster Rd, Garden City, MI 48135 Phone: 734-458-4486 | |
Dr. Suryakumari Guthikonda, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 30260 Cherry Hill Rd, Suite A, Garden City, MI 48135 Phone: 734-466-9000 Fax: 734-466-9700 | |
Dr. Adam Edward Chornoby, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 30626 Ford Rd, Garden City, MI 48135 Phone: 734-261-9211 Fax: 734-261-8537 | |
Dr. Rakesh Reddy Devireddy, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 6245 Inkster Rd, Garden City, MI 48135 Phone: 734-458-4486 | |
Dr. Yaser T Dawod, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6255 Inkster Rd Ste 307, Garden City, MI 48135 Phone: 734-525-0319 Fax: 734-525-7227 | |
Dr. Kirsten Waarala, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6245 Inkster Rd, Garden City, MI 48135 Phone: 734-458-4486 |