| Dr Yitzchok Greenberg, MD | |
|
22700 Shevington Dr, Southfield, MI 48034-2143 | |
| (215) 948-2582 | |
| Not Available |
| Full Name | Dr Yitzchok Greenberg |
|---|---|
| Gender | Male |
| Speciality | Plastic Surgery |
| Location | 22700 Shevington Dr, Southfield, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538587928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 100883 (Wisconsin) | Secondary |
| 208200000X | Plastic Surgery | 4301501866 (Michigan) | Secondary |
| 208200000X | Plastic Surgery | 01095117A (Indiana) | Primary |
| Entity Name | Thedacare Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Yitzchok Greenberg, MD 22700 Shevington Dr, Southfield, MI 48034-2143 Ph: (215) 948-2582 | Dr Yitzchok Greenberg, MD 22700 Shevington Dr, Southfield, MI 48034-2143 Ph: (215) 948-2582 |
Dr. Alberto Julian Aviles, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 29201 Telegraph Rd Ste 200, Southfield, MI 48034 Phone: 249-936-0067 Fax: 248-716-5955 | |
Mariam Awada, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 30603 Southfield Rd, Southfield, MI 48076 Phone: 248-540-1900 Fax: 248-540-3700 | |
Dr. Gopal Malhotra, MS, MCH, FRCS Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 16001 W 9 Mile Rd Fl 3, Providence Hospital, Southfield, MI 48075 Phone: 248-849-5801 |