| Dr Fady Moustarah, MD, MPH | |
|
43494 Woodward Ave Ste 202, Bloomfield Hills, MI 48302-5054 | |
| (248) 334-5444 | |
| Not Available |
| Full Name | Dr Fady Moustarah |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 43494 Woodward Ave Ste 202, Bloomfield Hills, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134355399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 2022-01683 (North Carolina) | Secondary |
| 208600000X | Surgery | 35. 092350 (Ohio) | Secondary |
| 208600000X | Surgery | 4301108768 (Michigan) | Primary |
| Entity Name | Saginaw Cooperative Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346344991 PECOS PAC ID: 3971400318 Enrollment ID: O20031215000723 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fady Moustarah, MD, MPH Po Box 724, Dearborn, MI 48121-0724 Ph: (989) 980-4995 | Dr Fady Moustarah, MD, MPH 43494 Woodward Ave Ste 202, Bloomfield Hills, MI 48302-5054 Ph: (248) 334-5444 |
William Stephen Gross, MD Surgery Medicare: Medicare Enrolled Practice Location: 4049 Hidden Woods Drive, Bloomfield Hills, MI 48301 Phone: 248-933-3050 Fax: 248-562-3229 | |
Rebecca Boston, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 60 W Big Beaver Rd Ste 100, Bloomfield Hills, MI 48304 Phone: 248-258-5100 | |
Michael Meininger, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 36880 Woodward Ave, Suite 203, Bloomfield Hills, MI 48304 Phone: 248-269-4100 Fax: 248-480-2399 | |
Diego Hernandez, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 43700 Woodward Ave Ste 207, Bloomfield Hills, MI 48302 Phone: 248-481-2100 Fax: 248-359-8750 | |
Dr. Mark A Pleatman, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 43494 Woodward Ave, Ste 202, Bloomfield Hills, MI 48302 Phone: 248-334-5444 Fax: 248-334-5484 | |
Dr. Edward J Treisman, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3857 Lakeland Ln, Bloomfield Hills, MI 48302 Phone: 248-737-0206 Fax: 248-737-0206 |