| Dr Lisa Renee Haston-fuller, DO | |
|
9315 Telegraph Rd, Redford, MI 48239 | |
| (313) 450-4500 | |
| (313) 450-4514 |
| Full Name | Dr Lisa Renee Haston-fuller |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 9315 Telegraph Rd, Redford, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831298397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 5101011198 (Michigan) | Primary |
| Entity Name | County Of Macomb |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942532197 PECOS PAC ID: 4880581404 Enrollment ID: O20040301000018 |
| Entity Name | Neighborhood Service Organization |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891825808 PECOS PAC ID: 7113907387 Enrollment ID: O20040720001455 |
| Entity Name | Consumer Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306876735 PECOS PAC ID: 0840214789 Enrollment ID: O20060119000030 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa Renee Haston-fuller, DO Po Box 401259, Redford, MI 48240-9259 Ph: (248) 557-4999 | Dr Lisa Renee Haston-fuller, DO 9315 Telegraph Rd, Redford, MI 48239 Ph: (313) 450-4500 |
Dr. Ismath Khan, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9315 Telegraph, Redford, MI 48239 Phone: 313-450-4500 Fax: 313-450-4500 | |
Dr. Mohamed Siddique, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 9315 Telegraph, Redford, MI 48239 Phone: 313-450-4500 Fax: 313-450-4514 | |
Dr. Hyun Shin, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9315 Telegraph Rd, Redford, MI 48239 Phone: 313-450-4500 Fax: 313-450-4512 | |
Dr. Rokeya Muhaimeen, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9315 Telegraph, Redford, MI 48239 Phone: 313-450-4500 Fax: 313-450-4514 | |
Dr. Prasad G Sripada, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 9315 Telegraph Rd, Redford, MI 48239 Phone: 313-450-4500 Fax: 313-450-4512 | |
Asha Jain, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9315 Telegraph Rd, Redford, MI 48239 Phone: 313-450-4500 Fax: 313-450-4514 | |
Dr. Abdul Hafeez, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9315 Telegraph, Redford, MI 48239 Phone: 313-450-4500 Fax: 313-450-4514 |