| Dr Kim Ford Kezlarian, MD | |
| 
					26300 Woodward Ave, Royal Oak, MI 48067-0917  | |
| (245) 546-2110 | |
| (248) 546-8176 | 
| Full Name | Dr Kim Ford Kezlarian | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 26300 Woodward Ave, Royal Oak, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1558440628 | NPI | - | NPPES | 
| 0F32365 | Other | MI | BCBS | 
| 104860996 | Medicaid | MI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301041887 (Michigan) | Primary | 
| 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  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Kim Ford Kezlarian, MD 26300 Woodward Ave, Royal Oak, MI 48067-0917 Ph: (245) 546-2110  | Dr Kim Ford Kezlarian, MD 26300 Woodward Ave, Royal Oak, MI 48067-0917 Ph: (245) 546-2110  | 
Dr. Megan C Zawaideh, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1041 S Main St, Royal Oak, MI 48067 Phone: 248-280-6400 Fax: 248-273-0471  | |
Jun Kang,  Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000  | |
Shikha Kalra, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 Fax: 248-898-1264  | |
Amanda Lynnae Williams, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 110 E 2nd St, Royal Oak, MI 48067 Phone: 248-546-2110  | |
Helen Ostro-brown, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2033 Crooks Rd, Royal Oak, MI 48073 Phone: 248-543-2000 Fax: 248-543-2043  | |
Paul D. Krebsbach, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: Henry Ford Health System, 26300 Woodward, Royal Oak, MI 48067 Phone: 248-546-2110 Fax: 248-546-8176  | |
Dr. Victor Samir Faris, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 N Campbell Rd, Suite #3, Royal Oak, MI 48067 Phone: 248-850-8395 Fax: 248-850-8495  |