| Henry Ford Health System | |
|
2799 W Grand Blvd Detroit MI 48202-2608 | |
| (313) 916-2600 | |
| Not Available |
| Full Name | Henry Ford Health System |
|---|---|
| Speciality | Internal Medicine |
| Location | 2799 W Grand Blvd, Detroit, Michigan |
| Authorized Official Name and Position | Kelly Ratowski (DIRECTOR OF PROVIDER AFFAIRS) |
| Authorized Official Contact | 2487032003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry Ford Health System 2799 W Grand Blvd Detroit MI 48202-2608 Ph: (313) 916-2600 | Henry Ford Health System 2799 W Grand Blvd Detroit MI 48202-2608 Ph: (313) 916-2600 |
| NPI Number | 1992866198 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 03/15/2024 |
| Medicare PECOS PAC ID | 0547178311 |
|---|---|
| Medicare Enrollment ID | O20031210000408 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992866198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 830190 (Michigan) | Primary |
| Provider Name | Marcus J Zervos |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780752220 PECOS PAC ID: 4587605340 Enrollment ID: I20050523000048 |
| Provider Name | Anne Yun Chen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780752212 PECOS PAC ID: 7214955699 Enrollment ID: I20051103000917 |
| Provider Name | George John Alangaden |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194762799 PECOS PAC ID: 8729090139 Enrollment ID: I20060630000167 |
| Provider Name | Allison J Weinmann |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518905249 PECOS PAC ID: 5890707004 Enrollment ID: I20060706000183 |
| Provider Name | Mayur S Ramesh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1043275167 PECOS PAC ID: 7012974066 Enrollment ID: I20091119000539 |
| Provider Name | Indira Brar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699843128 PECOS PAC ID: 0941330666 Enrollment ID: I20100607000646 |
| Provider Name | Ramon Delbusto |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437353729 PECOS PAC ID: 2860522257 Enrollment ID: I20100610001117 |
| Provider Name | Norman P Markowitz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619045168 PECOS PAC ID: 0042340176 Enrollment ID: I20100616000036 |
| Provider Name | Tricia L Stein |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548383276 PECOS PAC ID: 8022142520 Enrollment ID: I20100819000690 |
| Provider Name | Katherine C Reyes |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457560583 PECOS PAC ID: 5890983720 Enrollment ID: I20101220000712 |
| Provider Name | Pallavi Bhargava |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316229628 PECOS PAC ID: 2860652591 Enrollment ID: I20120404000403 |
| Provider Name | John Ernest Mckinnon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891944526 PECOS PAC ID: 5092883736 Enrollment ID: I20120926000488 |
| Provider Name | Odaliz E Abreu Lanfranco |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538276134 PECOS PAC ID: 0446250369 Enrollment ID: I20150813011044 |
| Provider Name | Erica S Herc |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891058418 PECOS PAC ID: 8628378650 Enrollment ID: I20170929001129 |
| Provider Name | Gina C Maki |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356736300 PECOS PAC ID: 1254648884 Enrollment ID: I20180904001240 |
| Provider Name | William P Dillon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922456615 PECOS PAC ID: 8921341173 Enrollment ID: I20190510000742 |
| Provider Name | Jonathan Demetrius Williams |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760821060 PECOS PAC ID: 1355674995 Enrollment ID: I20190613000118 |
| Provider Name | Geehan Suleyman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891010401 PECOS PAC ID: 9537391578 Enrollment ID: I20190627002910 |
| Provider Name | Farah Mohammad |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1639451545 PECOS PAC ID: 8527290972 Enrollment ID: I20190917000247 |
| Provider Name | Nicholas F Yared |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265721476 PECOS PAC ID: 4183928237 Enrollment ID: I20200225003001 |
| Provider Name | Smitha Gudipati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467827261 PECOS PAC ID: 8820381080 Enrollment ID: I20200805002158 |
| Provider Name | Anita B. Shallal |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134570823 PECOS PAC ID: 9830477231 Enrollment ID: I20210722002390 |
| Provider Name | Seema H Joshi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275054637 PECOS PAC ID: 6305238239 Enrollment ID: I20220917000165 |
| Provider Name | Basmah W Khalil |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366893380 PECOS PAC ID: 5597053975 Enrollment ID: I20230609000909 |
| Provider Name | Muhannad Antoun |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619266319 PECOS PAC ID: 9739303645 Enrollment ID: I20230629000165 |
| Provider Name | Navina Kapur Birk |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285163329 PECOS PAC ID: 4981974102 Enrollment ID: I20240224000352 |
| Provider Name | Andrew J Failla |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235699778 PECOS PAC ID: 2668703414 Enrollment ID: I20240410002542 |
| Provider Name | Cindy Maria Mccartney |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1477115806 PECOS PAC ID: 8325488117 Enrollment ID: I20240426001259 |
| Provider Name | Brianna Leigh Hatch-vallier |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376003681 PECOS PAC ID: 9335475763 Enrollment ID: I20240501003846 |
| Provider Name | Eloy Enrique Ordaya Espinoza |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689031767 PECOS PAC ID: 8921363367 Enrollment ID: I20240613003413 |
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