| Dr Tejas Ajay Dalal, MD | |
|
1000 Harrington St, Mount Clemens, MI 48043-2920 | |
| (734) 677-7400 | |
| Not Available |
| Full Name | Dr Tejas Ajay Dalal |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 20 Years |
| Location | 1000 Harrington St, Mount Clemens, 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 |
|---|---|---|---|
| 1437360864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | AU2866626-U038 (Ohio) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 4301086293 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Beaumont Hospital, Troy | Troy, MI | Hospital |
| Beaumont Hospital - Grosse Pointe | Grosse pointe, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beaumont Medical Group Hospital Based Services | 3072875889 | 506 |
| Entity Name | General Radiology Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801801519 PECOS PAC ID: 4981518644 Enrollment ID: O20031117000659 |
| Entity Name | Nds Radiology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649418211 PECOS PAC ID: 2062408875 Enrollment ID: O20090512000117 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tejas Ajay Dalal, MD 3621 S State St, 700 Kms Place, Ann Arbor, MI 48108 Ph: (734) 936-2047 | Dr Tejas Ajay Dalal, MD 1000 Harrington St, Mount Clemens, MI 48043-2920 Ph: (734) 677-7400 |
Dr. Affaan Khan Bangash, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 630-776-3318 | |
Surender Kurapati, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8098 Fax: 586-493-8706 | |
Anthony L Kudirka, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8098 Fax: 586-493-8706 | |
Timothy P Pierron, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8098 Fax: 586-793-8706 | |
Jeremy S Kendra, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8098 Fax: 586-493-8706 | |
George L. Figacz, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Radiology Dept, Mount Clemens, MI 48043 Phone: 586-493-8098 |