| Dr Majda A Hannish, MD | |
|
2100 W Big Beaver Rd, Ste 110, Troy, MI 48084 | |
| (248) 816-1300 | |
| (248) 816-2723 |
| Full Name | Dr Majda A Hannish |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2100 W Big Beaver Rd, Troy, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174591549 | NPI | - | NPPES |
| 348604710 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 4301065894 (Michigan) | Primary |
| Entity Name | Beaumont Medical Group- Specialty Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Majda A Hannish, MD 130 Town Center Dr, Ste 203, Troy, MI 48084-1744 Ph: (248) 585-8265 | Dr Majda A Hannish, MD 2100 W Big Beaver Rd, Ste 110, Troy, MI 48084 Ph: (248) 816-1300 |
Harini Erupaka Reddy, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-1007 | |
Dr. Beth Kimberly Miral, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1800 W. Big Beaver Rd, Suite 200, Troy, MI 48084 Phone: 248-205-3535 Fax: 248-649-5920 | |
Anuradha Prabhu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 44199 Dequindre Rd Ste 615, Beaumont Pediatric Subspecialty Clinic, Troy, MI 48085 Phone: 248-964-9660 Fax: 248-964-9665 | |
Danelle Renae Stabel, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2825 Livernois Rd, Troy, MI 48083 Phone: 248-680-6000 | |
Dr. Tamer N Massarani, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1579 W Big Beaver Rd, Ste B5, Troy, MI 48084 Phone: 248-614-0124 Fax: 248-614-0126 | |
Dr. John Patrick Quigley, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 44199 Dequindre Rd, Suite 222, Troy, MI 48085 Phone: 248-879-5570 Fax: 248-879-2235 |