| Evtishios James Daros, DO | |
|
8275 Holly Rd, Suite1, Grand Blanc, MI 48439-2442 | |
| (810) 603-0990 | |
| Not Available |
| Full Name | Evtishios James Daros |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 8275 Holly Rd, Grand Blanc, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316944333 | NPI | - | NPPES |
| 2095522 | Medicaid | MI | |
| 5253833 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ED007048 (Michigan) | Primary |
| Entity Name | E J Daros Do Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902029713 PECOS PAC ID: 6406849637 Enrollment ID: O20040405001115 |
| Mailing Address | Practice Location Address |
|---|---|
| Evtishios James Daros, DO 8275 Holly Rd, Suite1, Grand Blanc, MI 48439-2442 Ph: (810) 603-0990 | Evtishios James Daros, DO 8275 Holly Rd, Suite1, Grand Blanc, MI 48439-2442 Ph: (810) 603-0990 |
Erica Ma, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-5000 | |
Dr. Antony James Daros, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8275 Holly Rd, Ste 1, Grand Blanc, MI 48439 Phone: 810-603-0990 Fax: 810-603-1678 | |
Edna Bick, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8447 Holly Rd, Ste D, Grand Blanc, MI 48439 Phone: 810-695-9451 Fax: 810-695-9469 | |
Dr. Karthiyayini Satkunananthan, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-5000 | |
Dr. Spencer Ryan Copeland, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-5000 | |
Tejpreet Arora, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-5000 | |
Dr. Guru Kandasamy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-5000 |