| Dr Dawood Ghassan Dalaly, MS, DO | |
|
33155 Annapolis St, Wayne, MI 48184-2405 | |
| (734) 467-4000 | |
| Not Available |
| Full Name | Dr Dawood Ghassan Dalaly |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 19 Years |
| Location | 33155 Annapolis St, Wayne, 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 |
|---|---|---|---|
| 1558568733 | NPI | - | NPPES |
| 1558568733 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0102X | Surgery - Surgical Critical Care | 5101017324 (Michigan) | Primary |
| 208600000X | Surgery | 5101017324 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Promedica Monroe Regional Hospital | Monroe, MI | Hospital |
| Beaumont Hospital - Trenton | Trenton, MI | Hospital |
| Beaumont Hospital - Wayne | Wayne, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Critical Care Medicine Partners, Pc | 3779474614 | 11 |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
| Entity Name | Critical Care Medicine Partners, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437120185 PECOS PAC ID: 3779474614 Enrollment ID: O20040322000966 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dawood Ghassan Dalaly, MS, DO 3632 Pheasant Run, Bloomfield Hills, MI 48302-1245 Ph: (248) 514-8225 | Dr Dawood Ghassan Dalaly, MS, DO 33155 Annapolis St, Wayne, MI 48184-2405 Ph: (734) 467-4000 |
Dr. Vishnu Teja Pemmaraju, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3106 S Wayne Rd, Wayne, MI 48184 Phone: 734-722-6300 Fax: 734-722-4815 | |
Adewunmi Adeyemo, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3106 S Wayne Rd, Wayne, MI 48184 Phone: 734-722-6300 Fax: 734-722-4815 | |
Tucker Gisler Jennings, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 33101 Annapolis St Ste 100, Wayne, MI 48184 Phone: 734-467-2670 |