| Dr Jonathan Robert Doty, DO | |
|
2515 Ford Road, Suite 100, Dearborn Heights, MI 48127 | |
| (248) 553-0010 | |
| (248) 553-5957 |
| Full Name | Dr Jonathan Robert Doty |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2515 Ford Road, Dearborn Heights, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205495975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 5101026941 (Michigan) | Primary |
| Entity Name | Glendale Neurological Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639134414 PECOS PAC ID: 5294778833 Enrollment ID: O20050606000462 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Robert Doty, DO 28595 Orchard Lake Rd Ste 200, Farmington Hills, MI 48334-2979 Ph: (248) 553-0010 | Dr Jonathan Robert Doty, DO 2515 Ford Road, Suite 100, Dearborn Heights, MI 48127 Ph: (248) 553-0010 |
Dr. Jake Katzman, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 25150 Ford Rd Ste 100, Dearborn Heights, MI 48127 Phone: 248-553-0010 Fax: 248-553-5957 | |
Dr. Amy Kodrik, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 25150 Ford Rd Ste 100, Dearborn Heights, MI 48127 Phone: 248-553-0010 Fax: 248-553-5957 | |
Dr. Samir Sotouhi, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 20225 Ann Arbor Trl Ste 100, Dearborn Heights, MI 48127 Phone: 313-581-0003 Fax: 313-581-3399 |