| Tariq M Awan, DO | |
|
30055 Northwestern Hwy Ste L-30, Farmington Hills, MI 48334-3211 | |
| (248) 865-4238 | |
| (248) 865-4237 |
| Full Name | Tariq M Awan |
|---|---|
| Gender | Male |
| Speciality | Sports Medicine |
| Experience | 21 Years |
| Location | 30055 Northwestern Hwy Ste L-30, Farmington Hills, 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 |
|---|---|---|---|
| 1467403675 | NPI | - | NPPES |
| 009931 | Other | AZ | ARIZONA LICENSE |
| 5101015599 | Other | MI | MICHIGAN LICENSE |
| 161081 | Medicaid | AZ |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Providence Hospital, Southfield And Novi | Southfield, MI | Hospital |
| Ascension St John Hospital | Detroit, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Providence Hospital | 6103738703 | 178 |
| Arizona Bone Joint And Sports Medicine Center | 8123496668 | 2 |
| Entity Name | Ascension Providence Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942265236 PECOS PAC ID: 6103738703 Enrollment ID: O20031103000326 |
| Mailing Address | Practice Location Address |
|---|---|
| Tariq M Awan, DO Po Box 2253, Phoenix, AZ 85002-2253 Ph: (602) 606-8949 | Tariq M Awan, DO 30055 Northwestern Hwy Ste L-30, Farmington Hills, MI 48334-3211 Ph: (248) 865-4238 |
Dr. Randall T Wurtz, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 23800 Orchard Lake Rd, Ste 100, Farmington Hills, MI 48336 Phone: 248-476-2420 Fax: 248-476-9709 | |
Lauren Noel Cole, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 28100 Grand River Ave Ste 313, Farmington Hills, MI 48336 Phone: 947-521-7150 | |
Saniya Jain, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 28100 Grand River Ave, Suite 313, Farmington Hills, MI 48336 Phone: 947-521-7150 | |
Dr. Joanne Louise Mckune, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 36253 Old Homestead Dr, Farmington Hills, MI 48335 Phone: 248-477-1433 | |
Matthew John Sebastian, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 28100 Grand River Ave Ste 313, Farmington Hills, MI 48336 Phone: 947-521-7150 Fax: 248-426-2473 | |
Mira Hamame, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 29645 W 14 Mile Rd Ste 110, Farmington Hills, MI 48334 Phone: 248-254-6000 Fax: 248-254-6001 | |
Marisa Burla, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 28100 Grand River Ave, Suite 313 South, Farmington Hills, MI 48336 Phone: 248-615-7150 Fax: 248-426-2473 |