| Dr Hadi Ali Dourra, MD | |
|
27144 Joy Rd, Redford, MI 48239-2368 | |
| (313) 937-1400 | |
| (313) 937-1402 |
| Full Name | Dr Hadi Ali Dourra |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 22 Years |
| Location | 27144 Joy Rd, Redford, 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 |
|---|---|---|---|
| 1003975517 | NPI | - | NPPES |
| 5177514-10 | Medicaid | MI | |
| 1003975517 | Other | MI | NPI # |
| 70-0-F32947-0 | Other | MI | BCBS CPIN # |
| 4301084360 | Other | MI | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 4301084360 (Michigan) | Secondary |
| 207R00000X | Internal Medicine | 4301084360 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital - Dearborn | Dearborn, MI | Hospital |
| Garden City Hospital | Garden city, MI | Hospital |
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Beaumont Hospital - Wayne | Wayne, MI | Hospital |
| Beaumont Hospital - Farmington Hills | Farmington hills, MI | Hospital |
| Maple Manor Rehab Center | Wayne, MI | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Elite Care Physicians Pllc | 9133265945 | 3 |
| Entity Name | Elite Care Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982830535 PECOS PAC ID: 9133265945 Enrollment ID: O20091008000410 |
| Entity Name | Apollo Hospitalist Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548978794 PECOS PAC ID: 5193194033 Enrollment ID: O20221215000462 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Hadi Ali Dourra, MD 27144 Joy Rd, Redford, MI 48239-2368 Ph: (313) 937-1400 | Dr Hadi Ali Dourra, MD 27144 Joy Rd, Redford, MI 48239-2368 Ph: (313) 937-1400 |
Dr. Errol Glenn Elrington, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 26611 W 7 Mile Rd, Suite B, Redford, MI 48240 Phone: 313-274-8419 Fax: 313-255-3671 | |
Dr. Enos Marcus Humbles, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 23405 Plymouth Rd, Redford, MI 48239 Phone: 313-535-7880 Fax: 313-535-8388 |