| Elango Edhayan, MD | |
|
24025 Greater Mack Ave Ste 103, Saint Clair Shores, MI 48080-4311 | |
| (586) 806-3220 | |
| (586) 350-0099 |
| Full Name | Elango Edhayan |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 37 Years |
| Location | 24025 Greater Mack Ave Ste 103, Saint Clair Shores, 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 |
|---|---|---|---|
| 1770680381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 4301057065 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St John Hospital | Detroit, MI | Hospital |
| Ascension Macomb Oakland Hosp-warren Campus | Warren, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford Health St. John Hospital | 3173424082 | 327 |
| Acute Care Surgeons Pc | 6002956265 | 15 |
| Entity Name | Ascension St John Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
| Entity Name | Kaiser Medical Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235325226 PECOS PAC ID: 8224921424 Enrollment ID: O20040821000043 |
| Entity Name | Acute Care Surgeons Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730415753 PECOS PAC ID: 6002956265 Enrollment ID: O20091218000206 |
| Mailing Address | Practice Location Address |
|---|---|
| Elango Edhayan, MD 24025 Greater Mack Ave Ste 103, Saint Clair Shores, MI 48080-4311 Ph: (586) 806-3220 | Elango Edhayan, MD 24025 Greater Mack Ave Ste 103, Saint Clair Shores, MI 48080-4311 Ph: (586) 806-3220 |
Afroze Ahmed, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 29000 Little Mack Ave Ste A, Saint Clair Shores, MI 48081 Phone: 586-343-8717 | |
Dr. Nagalingappa Bhadra Chari, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 29900 Harper Ave, Saint Clair Shores, MI 48082 Phone: 586-294-4440 | |
Steven R Hendrick, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 25631 Little Mack Ave Lowr Level, Saint Clair Shores, MI 48081 Phone: 586-443-2998 Fax: 586-443-2309 | |
Dr. Anastasya Chuchulo, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 29000 Little Mack Ave Ste A, Saint Clair Shores, MI 48081 Phone: 586-343-8717 Fax: 586-343-8773 | |
Karen L. Summe, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 29000 Little Mack Ave Ste B, Saint Clair Shores, MI 48081 Phone: 586-774-8811 Fax: 586-774-6773 | |
Dr. Mohammed Sahly, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 29000 Little Mack Ave, Saint Clair Shores, MI 48081 Phone: 586-774-8811 | |
Abdelkader Hawasli, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 24911 Little Mack Ave, Ste B, Saint Clair Shores, MI 48080 Phone: 586-774-8811 Fax: 586-774-6773 |