Dr Ermias Mehretab, DDS is a
Student In An Organized Health Care Education/training Program based in Detroit, Michigan. Dr Ermias Mehretab is licensed to practice in Michigan (license number 2951000997) and his current practice location is
2700 Martin Luther King Jr Blvd, Detroit, Michigan. He can be reached at his office (for appointments etc.) via phone at
(877) 509-5092.
NPI number for Dr Ermias Mehretab is 1548721541 and his current mailing address is 2700 Martin Luther King Jr Blvd, Detroit, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548721541.
Healthcare Provider's Profile
Full Name | Dr Ermias Mehretab |
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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 | 2700 Martin Luther King Jr Blvd, Detroit, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548721541
- Provider Enumeration Date: 03/31/2019
- Last Update Date: 08/26/2025
Medical Identifiers
Medical identifiers for Dr Ermias Mehretab such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548721541 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | D010758 (Arizona) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 2951000997 (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 Ermias Mehretab is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Ermias Mehretab, DDS 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 Ph: (877) 509-5092 | Dr Ermias Mehretab, DDS 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 Ph: (877) 509-5092 |
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