Dr Atbin Doroodchi, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Grosse Pointe Woods, Michigan. His current practice location is
19251 Mack Ave Ste 340, Grosse Pointe Woods, Michigan. You can reach out to his office (for appointments etc.) via phone at
(586) 578-9595.
Dr Atbin Doroodchi is licensed to practice in Michigan (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316476740.
Physician's Profile
Full Name | Dr Atbin Doroodchi |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 19251 Mack Ave Ste 340, Grosse Pointe Woods, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1316476740
- Provider Enumeration Date: 06/08/2017
- Last Update Date: 05/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 9830463082
- Enrollment ID: I20170926004345
Medical Identifiers
Medical identifiers for Dr Atbin Doroodchi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316476740 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 009049 (Georgia) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (Indiana) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Atbin Doroodchi is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Atbin Doroodchi, MD 19251 Mack Ave Ste 340, Grosse Pointe Woods, MI 48236-2891 Ph: () - | Dr Atbin Doroodchi, MD 19251 Mack Ave Ste 340, Grosse Pointe Woods, MI 48236-2891 Ph: (586) 578-9595 |
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