| Dr Sultan Qiblawi, MD, MBA | |
|
14700 Farmington Rd Ste 105, Livonia, MI 48154-5434 | |
| (734) 361-2191 | |
| (734) 361-9701 |
| Full Name | Dr Sultan Qiblawi |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 5 Years |
| Location | 14700 Farmington Rd Ste 105, Livonia, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346821964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 83060 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Mary's Hospital - Madison | Madison, WI | Hospital |
| Ssm Health St Clare Hospital - Baraboo | Baraboo, WI | Hospital |
| Entity Name | Summit Dermatology PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780577999 PECOS PAC ID: 7618472317 Enrollment ID: O20250924001904 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sultan Qiblawi, MD, MBA 600 Highland Ave, Madison, WI 53792-0001 Ph: (608) 287-2620 | Dr Sultan Qiblawi, MD, MBA 14700 Farmington Rd Ste 105, Livonia, MI 48154-5434 Ph: (734) 361-2191 |
Dr. Sajiv Gugneja, MD, PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 20234 Farmington Rd, Livonia, MI 48152 Phone: 248-474-8440 Fax: 248-474-5714 |
Kristy Bojazi Charles, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 19900 Haggerty Road, Suite 105, Livonia, MI 48152 Phone: 734-936-4054 |
Stephanie Diamond, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 16826 Newburgh Rd, Livonia, MI 48154 Phone: 734-464-8400 |
Dr. Andrew J Mitchell, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 20234 Farmington Rd, Livonia, MI 48152 Phone: 248-474-8440 Fax: 248-474-5714 |
Dr. Khaled Hassan El-hoshy, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14555 Levan Rd, Ste 410, Livonia, MI 48154 Phone: 734-462-9499 Fax: 734-462-4124 |
Miriam Sagher, NP Dermatology Medicare: Accepting Medicare Assignments Practice Location: 39000 7 Mile Rd Ste 2900, Livonia, MI 48152 Phone: 734-884-6400 Fax: 734-742-5483 |
Lauren Seale, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 39000 7 Mile Rd Ste 2900, Livonia, MI 48152 Phone: 734-884-6400 Fax: 734-742-5483 |