| Dr Fawaz Al-ejel, MD | |
|
24623 Greenfield Rd, Southfield, MI 48075-3058 | |
| (248) 290-3111 | |
| (248) 290-3100 |
| Full Name | Dr Fawaz Al-ejel |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 37 Years |
| Location | 24623 Greenfield Rd, Southfield, 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 |
|---|---|---|---|
| 1871567651 | NPI | - | NPPES |
| 3482020 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 4301056772 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southfield West Dialysis Of Davita | Southfield, MI | Dialysis facility |
| Novi Dialysis Center Of Davita | Novi, MI | Dialysis facility |
| Brighton Dialysis Of Davita | Brighton, MI | Dialysis facility |
| Ascension Providence Hospital, Southfield And Novi | Southfield, MI | Hospital |
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| St Joe Mercy Hospital System Livonia | Livonia, MI | Hospital |
| Saint Joseph Mercy Livingston Hospital | Howell, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Michigan Kidney Consultants Pc | 1052207115 | 39 |
| Entity Name | Michigan Kidney Consultants Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831130723 PECOS PAC ID: 1052207115 Enrollment ID: O20040225000631 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fawaz Al-ejel, MD Po Box 77000 Department 771267, Detroit, MI 48277-1267 Ph: (248) 290-3111 | Dr Fawaz Al-ejel, MD 24623 Greenfield Rd, Southfield, MI 48075-3058 Ph: (248) 290-3111 |
Surinder Mendiratta, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 20905 Greenfield Rd, Suite 502, Southfield, MI 48075 Phone: 248-395-2888 Fax: 248-395-2891 | |
Dr. Freddy R Sosa, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 22250 Providence Dr, Suite 703, Southfield, MI 48075 Phone: 248-569-1770 Fax: 248-443-2439 | |
Thomas A Mladsi, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 29201 Telegraph Rd, Suite 460, Southfield, MI 48034 Phone: 248-206-7511 Fax: 248-206-7455 | |
Kun Kil Yu, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 19189 W 10 Mile Rd, Ste 200, Southfield, MI 48075 Phone: 248-948-7985 Fax: 248-948-9031 | |
Dr. Vilma Drelichman, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 22301 Foster Winter Dr, 2nd Floor, Southfield, MI 48075 Phone: 248-552-0620 Fax: 248-552-0286 | |
Dr. Sumner Camisa, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 29829 Telegraph Road, #100, Southfield, MI 48034 Phone: 248-355-3033 Fax: 248-355-4936 | |
Talal Taher Khader, M.D Nephrology Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, 4th Fl Fisher Ctr, Southfield, MI 48075 Phone: 248-849-8483 |