| Abdul R Effendi, MD | |
|
25710 Kelly Rd Ste 1, Roseville, MI 48066-4959 | |
| (586) 772-2600 | |
| (586) 772-5289 |
| Full Name | Abdul R Effendi |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 36 Years |
| Location | 25710 Kelly Rd Ste 1, Roseville, 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 |
|---|---|---|---|
| 1881647584 | NPI | - | NPPES |
| 4278700 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 058052 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Macomb Regional Dialysis Center | Clinton township, MI | Dialysis facility |
| Fmc Dialysis - Warren | Warren, MI | Dialysis facility |
| Fmc - St Clair Shores | Saint clair shores, MI | Dialysis facility |
| Fmc Dialysis - Madison Heights | Madison heights, MI | Dialysis facility |
| Beaumont Hospital, Troy | Troy, MI | Hospital |
| Beaumont Hospital - Grosse Pointe | Grosse pointe, MI | Hospital |
| Ascension Macomb Oakland Hosp-warren Campus | Warren, MI | Hospital |
| Henry Ford Macomb Hospital | Clinton township, MI | Hospital |
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kidney Consultants Of Michigan Pc | 2163464520 | 4 |
| Associates In Family Practice Pllc | 7416088463 | 8 |
| Entity Name | Kidney Consultants Of Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932396496 PECOS PAC ID: 2163464520 Enrollment ID: O20050525000846 |
| Entity Name | Associates In Family Practice Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790008753 PECOS PAC ID: 7416088463 Enrollment ID: O20100708000490 |
| Mailing Address | Practice Location Address |
|---|---|
| Abdul R Effendi, MD 25710 Kelly Rd, Ste 1, Roseville, MI 48066-4959 Ph: (586) 772-2600 | Abdul R Effendi, MD 25710 Kelly Rd Ste 1, Roseville, MI 48066-4959 Ph: (586) 772-2600 |
Robert Lewis Marchese, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 25810 Kelly Rd, Suite 3, Roseville, MI 48066 Phone: 586-777-9724 Fax: 586-777-9725 | |
Benjamin O Osowa, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 18263 E 10 Mile Rd, Suite E, Roseville, MI 48066 Phone: 586-552-8696 Fax: 586-552-4404 | |
Dr. Majid Alzagoum, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 18303 E 10 Mile Rd, Suite 100, Roseville, MI 48066 Phone: 586-776-8877 Fax: 586-776-3092 | |
Dr. Wahed Ishaqsei, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 18263 E 10 Mile Rd, Suite D, Roseville, MI 48066 Phone: 586-778-4950 Fax: 586-778-4952 | |
Dr. Mohamad K. Ajjour, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 18303 E 10 Mile Rd, Suite 100, Roseville, MI 48066 Phone: 586-776-8877 Fax: 586-776-3092 | |
Dr. Ameer Abdulrazzak, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 18001 E 10 Mile, Suite 1, Roseville, MI 48066 Phone: 586-218-5800 Fax: 586-218-5808 | |
Heather Lynn Henderson, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 18001 E 10 Mile Rd, Suite 1, Roseville, MI 48066 Phone: 586-218-5800 Fax: 586-218-5808 |