Charlene Smith, MD | |
3901 Beaubien St, Detroit, MI 48201-2119 | |
(313) 745-5437 | |
Not Available |
Full Name | Charlene Smith |
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Gender | Female |
Speciality | Pediatrics |
Location | 3901 Beaubien St, 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 |
---|---|---|---|
1750418083 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301066586 (Michigan) | Primary |
Entity Name | Detroit Community Health Connection, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982611562 PECOS PAC ID: 9234021148 Enrollment ID: O20040326000067 |
Mailing Address | Practice Location Address |
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Charlene Smith, MD 22341 W 8 Mile Rd, Detroit, MI 48219-1217 Ph: (313) 255-2209 | Charlene Smith, MD 3901 Beaubien St, Detroit, MI 48201-2119 Ph: (313) 745-5437 |
Dr. Ijeoma Nnodim Opara, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4201 St. Antoine Ste 6a & 6b, General Medicine Ambulatory Practice, Detroit, MI 48201 Phone: 313-745-4627 Fax: 313-966-7305 | |
Dr. Alissa M Martin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Beaubien, Children's Hospital Of Mi, Detroit, MI 48201 Phone: 313-745-5515 Fax: 313-745-5237 | |
Norimitsu Kuwabara, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Children's Specialty Center, 3950 Beaubien, Detroit, MI 48201 Phone: 313-745-5906 Fax: 313-745-0955 | |
Karolina Maksimowski, Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-745-5260 Fax: 313-966-0665 | |
Raffat A. Siddiqi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Henry Ford Medical Group - Detroit Northwest, 7800 W Outer Drive, Detroit, MI 48235 Phone: 313-653-2500 Fax: 313-653-2555 | |
Dr. Rupa Thacker, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-745-5533 | |
Joshua Kim, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-745-5870 |