Efstathios Kondylis, MD | |
2799 W Grand Boulevard Null, Detroit, MI 48267-0001 | |
(313) 916-2000 | |
Not Available |
Full Name | Efstathios Kondylis |
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Gender | Male |
Speciality | Neurological Surgery |
Location | 2799 W Grand Boulevard Null, Detroit, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1912434580 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207T00000X | Neurological Surgery | 4301514178 (Michigan) | Primary |
Entity Name | The Cleveland Clinic Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
Mailing Address | Practice Location Address |
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Efstathios Kondylis, MD 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: (216) 444-2200 | Efstathios Kondylis, MD 2799 W Grand Boulevard Null, Detroit, MI 48267-0001 Ph: (313) 916-2000 |
Dr. Andrey Alex Volkov, D.O Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 22201 Moross Rd, Suite 352, Detroit, MI 48236 Phone: 313-343-7900 | |
Donald M. Seyfried, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Phone: 313-916-2436 | |
Dr. Marc Daniel Moisi, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 4160 John R St Ste 930, Detroit, MI 48201 Phone: 313-745-7247 Fax: 313-993-0500 | |
Dr. Paritosh Pandey, M.D Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 4201 Saint Antoine St, Suite 6e, Detroit, MI 48201 Phone: 248-686-4390 | |
Jiaqi Liu, Neurological Surgery Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Mark L. Rosenblum, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Phone: 313-916-2436 | |
Dr. Heather Christine Grimaudo, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 |