| Dr Kerolos Shenouda, MD | |
|
44200 Woodward Ave Ste 201, Pontiac, MI 48341-5045 | |
| (248) 334-9490 | |
| (248) 636-1170 |
| Full Name | Dr Kerolos Shenouda |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 10 Years |
| Location | 44200 Woodward Ave Ste 201, Pontiac, Michigan |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598129579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 4301504615 (Michigan) | Secondary |
| 207Y00000X | Otolaryngology | 35C.003984 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Providence Hospital, Southfield And Novi | Southfield, MI | Hospital |
| St Joe Mercy Hospital System Livonia | Livonia, MI | Hospital |
| Beaumont Hospital, Troy | Troy, MI | Hospital |
| St Joseph Mercy Oakland | Pontiac, MI | Hospital |
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Entity Name | Ear Nose And Throat Consultants Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053484048 PECOS PAC ID: 4284604174 Enrollment ID: O20040728000964 |
| Entity Name | Michigan Ear Nose And Throat Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073560355 PECOS PAC ID: 9133299654 Enrollment ID: O20080610000134 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kerolos Shenouda, MD 44200 Woodward Ave Ste 201, Pontiac, MI 48341-5045 Ph: (248) 334-9490 | Dr Kerolos Shenouda, MD 44200 Woodward Ave Ste 201, Pontiac, MI 48341-5045 Ph: (248) 334-9490 |
Lauren Hecht, DO Otolaryngology Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5000 | |
Bashar Succar, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 44200 Woodward Ave, Suite 201, Pontiac, MI 48341 Phone: 248-334-9490 Fax: 248-636-1170 | |
Samer J Bahu, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 44200 Woodward Ave, Suite 201, Pontiac, MI 48341 Phone: 248-334-9490 Fax: 248-636-1170 | |
Dr. Jessica Mae West, D.O. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 810-691-0875 | |
Olivia Matz, DO Otolaryngology Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5000 | |
Vaibhav Rajesh Kadam, DO Otolaryngology Medicare: Medicare Enrolled Practice Location: 50 N Perry, Pontiac, MI 48342 Phone: 248-338-5392 |