Tamer Nady Boules, MD | |
22250 Providence Dr, Suite 555, Southfield, MI 48075-4825 | |
(248) 424-5748 | |
(248) 443-1706 |
Full Name | Tamer Nady Boules |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 26 Years |
Location | 22250 Providence Dr, Southfield, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679525539 | NPI | - | NPPES |
0P33080 | Other | MI | PTAN |
4870974 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 4301072188 (Michigan) | Primary |
208600000X | Surgery | 4301072188 (Michigan) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Henry Ford West Bloomfield Hospital | West bloomfield, MI | Hospital |
Henry Ford Hospital | Detroit, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Henry Ford Medical Group | 0547178311 | 2124 |
Entity Name | Henry Ford Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
Entity Name | Comprehensive Vascular Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538136072 PECOS PAC ID: 5496735664 Enrollment ID: O20060713000146 |
Mailing Address | Practice Location Address |
---|---|
Tamer Nady Boules, MD 22250 Providence Dr, Suite 555, Southfield, MI 48075-4825 Ph: (248) 424-5748 | Tamer Nady Boules, MD 22250 Providence Dr, Suite 555, Southfield, MI 48075-4825 Ph: (248) 424-5748 |
Violet Onkoba, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 27209 Lahser Rd Ste 128, Southfield, MI 48034 Phone: 248-353-0200 | |
Kristopher Mahlon George, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-2600 Fax: 248-849-2610 | |
Khatchadour Hamamdjian, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 27177 Lahser Rd, Suite Number 104, Southfield, MI 48034 Phone: 248-353-6580 Fax: 248-353-0883 | |
Carly Beth Young, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 22250 Providence Dr Ste 703a, Southfield, MI 48075 Phone: 248-849-5862 | |
Nafisa Kuwajerwala, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 22250 Providence Dr, Suite 700, Southfield, MI 48075 Phone: 248-559-5115 | |
Vijay K Mittal, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 22250 Providence Drive, Suite 703a, Southfield, MI 48075 Phone: 248-849-5862 Fax: 248-849-8117 | |
Dr. Ivan Kamikovski, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3073 |