| Dr Abdul Kader Tabbara, MD | |
|
205 N East Ave, Jackson, MI 49201-1753 | |
| (517) 205-7836 | |
| Not Available |
| Full Name | Dr Abdul Kader Tabbara |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 205 N East Ave, Jackson, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528329547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 252394 (Massachusetts) | Secondary |
| 207L00000X | Anesthesiology | 4301502265 (Michigan) | Primary |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003989690 PECOS PAC ID: 0547178311 Enrollment ID: O20031111000300 |
| Entity Name | W.a. Foote Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760437826 PECOS PAC ID: 0244136067 Enrollment ID: O20031212000691 |
| Entity Name | Northland Anesthesia Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528001880 PECOS PAC ID: 5294623336 Enrollment ID: O20040309001092 |
| Entity Name | Providence Park Anesthesia Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942459672 PECOS PAC ID: 7315009479 Enrollment ID: O20081224000115 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Abdul Kader Tabbara, MD 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: (313) 874-4806 | Dr Abdul Kader Tabbara, MD 205 N East Ave, Jackson, MI 49201-1753 Ph: (517) 205-7836 |
Dr. Melinda Mitchell, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-205-7836 | |
Clemon Pardales, D.O. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2775 Blake Rd, Jackson, MI 49201 Phone: 517-787-2906 Fax: 517-787-3039 | |
Dr. Vinay Anad-raj Pallekonda, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 255 W Michigan Ave, Jackson, MI 49201 Phone: 517-787-6440 Fax: 517-787-7230 | |
Dr. Daniel Robert Grutter, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 205 North East Ave, Anesthesia Department, Jackson, MI 49201 Phone: 517-205-3240 | |
Dr. Yung I Park, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 255 W Michigan Ave, Jackson, MI 49201 Phone: 517-787-6440 Fax: 517-787-4146 | |
Nicole M Horning, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-205-4800 | |
Doris P Cralle, M.D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 744 W Michigan Ave, Jackson, MI 49201 Phone: 517-787-6440 Fax: 517-787-4146 |