| Fabian Nalichowski, MD | |
|
826 W King St, Owosso, MI 48867-2120 | |
| (989) 729-4977 | |
| (989) 729-4062 |
| Full Name | Fabian Nalichowski |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 826 W King St, Owosso, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689297996 | NPI | - | NPPES |
| 1689297996 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 036176782 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | 4301509670 (Michigan) | Primary |
| Entity Name | Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235160532 PECOS PAC ID: 8527976497 Enrollment ID: O20040122000907 |
| Mailing Address | Practice Location Address |
|---|---|
| Fabian Nalichowski, MD 826 W King St, Owosso, MI 48867-2120 Ph: (989) 729-4977 | Fabian Nalichowski, MD 826 W King St, Owosso, MI 48867-2120 Ph: (989) 729-4977 |
Mustafa S Huseini, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 721 N Shiawassee St Ste 202, Owosso, MI 48867 Phone: 989-729-1600 Fax: 989-729-4070 | |
Dr. Lynn M Larson, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 818 W King St Ste 101, Owosso, MI 48867 Phone: 989-729-4961 Fax: 989-729-4958 | |
Wael J Salman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Health Park Dr., Suite 304, Owosso, MI 48867 Phone: 989-729-4222 Fax: 989-729-4968 | |
Kamal Khorfan, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 721 N Shiawassee St Ste 202, Owosso, MI 48867 Phone: 989-729-1600 Fax: 989-729-4070 | |
Ebrahim Abdelrazzak, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 802 W King St Ste J, Owosso, MI 48867 Phone: 989-729-4071 | |
Kenneth Charles Hanson, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 802 W King St, Ste Q, Owosso, MI 48867 Phone: 989-723-7619 Fax: 989-723-0090 | |
Amna Mehdi, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 721 N Shiawassee St Ste 202, Owosso, MI 48867 Phone: 989-729-1600 Fax: 989-729-4070 |