Ghassan Dalloul, MD | |
2082 Mesquite Ave, Suite A100, Lake Havasu City, AZ 86403-6710 | |
(928) 453-2727 | |
(928) 453-2828 |
Full Name | Ghassan Dalloul |
---|---|
Gender | Male |
Speciality | Interventional Cardiology |
Experience | 17 Years |
Location | 2082 Mesquite Ave, Lake Havasu City, Arizona |
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 |
---|---|---|---|
1447466016 | NPI | - | NPPES |
Z159119 | Other | PTAN | |
47872 | Other | AZ | MEDICAL LICENSE |
817692 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301087543 (Michigan) | Secondary |
207RI0011X | Internal Medicine - Interventional Cardiology | 47872 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
Beaumont Hospital, Troy | Troy, MI | Hospital |
Ascension Providence Hospital, Southfield And Novi | Southfield, MI | Hospital |
Ascension Providence - Crittenton Hospital Medical Center | Rochester, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Heart And Vascular Specialists Pc | 3072744960 | 2 |
Entity Name | Ehk Endovascular Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477845824 PECOS PAC ID: 0648449272 Enrollment ID: O20110816000217 |
Entity Name | Heart And Vascular Specialists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144643149 PECOS PAC ID: 3072744960 Enrollment ID: O20140317002077 |
Mailing Address | Practice Location Address |
---|---|
Ghassan Dalloul, MD Po Box 20610, Mesa, AZ 85277-0610 Ph: (480) 985-1093 | Ghassan Dalloul, MD 2082 Mesquite Ave, Suite A100, Lake Havasu City, AZ 86403-6710 Ph: (928) 453-2727 |
Dr. Vivek B Narasimhan, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1840 Mesquite Ave Ofc Pe, Lake Havasu City, AZ 86403 Phone: 928-208-4598 Fax: 623-227-2000 | |
Aditya R Goud, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2082 Mesquite Ave Ste 100a, Lake Havasu City, AZ 86403 Phone: 928-453-2727 Fax: 928-453-2828 | |
Michael T Lyster, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-453-3761 Fax: 928-453-3771 | |
Edward J Quinn, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Riviera Dr, Lake Havasu City, AZ 86403 Phone: 928-855-5090 | |
Dr. Kanaan Abow Alkhier, MD, RPVI, RCS, RVS Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2082 Mesquite Ave, Lake Havasu City, AZ 86403 Phone: 928-453-2727 | |
Dr. Frederic Luo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 Mesquite Ave, Suite 102, Lake Havasu City, AZ 86403 Phone: 928-854-8720 | |
Lance Lee Bechtold, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1851 Mesquite Ave Ste 216, Lake Havasu City, AZ 86403 Phone: 928-854-5358 Fax: 928-854-5365 |