| Elias G Gennaoui, MD | |
|
14825 Southfield Rd, Allen Park, MI 48101-2642 | |
| (313) 386-3930 | |
| (313) 386-0962 |
| Full Name | Elias G Gennaoui |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 14825 Southfield Rd, Allen Park, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316917917 | NPI | - | NPPES |
| 3442150 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 4301037248 (Michigan) | Primary |
| Entity Name | Obhg Michigan, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790120863 PECOS PAC ID: 3971739244 Enrollment ID: O20131114000576 |
| Mailing Address | Practice Location Address |
|---|---|
| Elias G Gennaoui, MD 28011 Hickory Dr, Farmington Hills, MI 48331-2952 Ph: (248) 489-8177 | Elias G Gennaoui, MD 14825 Southfield Rd, Allen Park, MI 48101-2642 Ph: (313) 386-3930 |
Al Vito Lore, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 7445 Allen Road Suite 190, Allen Park, MI 48101 Phone: 313-382-0244 Fax: 313-382-1640 | |
Mansuk Chae, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 7445 Allen Rd, Suite 180, Allen Park, MI 48101 Phone: 313-383-4833 | |
Megan Nagy, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 7940 Allen Rd, Allen Park, MI 48101 Phone: 313-928-3200 Fax: 313-928-0246 | |
Ali H Mehram, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 7940 Allen Rd, Allen Park, MI 48101 Phone: 313-928-3200 Fax: 313-928-0246 |