| Shamael Haque, DO | |
|
18101 Oakwood Blvd, Dearborn, MI 48124-4089 | |
| (313) 593-7000 | |
| Not Available |
| Full Name | Shamael Haque |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 18101 Oakwood Blvd, Dearborn, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548461734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 5101015850 (Michigan) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 5101015840 (Michigan) | Primary |
| Entity Name | Beaumont Medical Group Hospital Based Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
| Entity Name | Shamael Haque, D.o., Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265295653 PECOS PAC ID: 3274075379 Enrollment ID: O20240604003566 |
| Mailing Address | Practice Location Address |
|---|---|
| Shamael Haque, DO 33155 Annapolis St, Wayne, MI 48184-2405 Ph: () - | Shamael Haque, DO 18101 Oakwood Blvd, Dearborn, MI 48124-4089 Ph: (313) 593-7000 |
Nathan Lwo, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 | |
Dora Mell, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 | |
Ethan Aleksandr Bork, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 | |
Dr. Suheb Mashkoor Hasan, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3815 Pelham St, Ste 1, Dearborn, MI 48124 Phone: 313-593-3915 Fax: 313-792-8812 | |
Dr. Hassan Mohamed Barada, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 | |
Dr. Manuel Dumlao, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2314 Monroe St, Dearborn, MI 48124 Phone: 313-562-6633 Fax: 313-562-0880 | |
Dr. Zane Alroshood, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 18001 Rotunda Dr, Dearborn, MI 48124 Phone: 313-633-2600 |