| Judie R Goodman, DO | |
|
Iha Hematology Oncology Oakland, 44405 Woodward Avenue, Suite 202, Pontiac, MI 48341-5023 | |
| (248) 858-2270 | |
| (248) 335-6171 |
| Full Name | Judie R Goodman |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Hematology & Oncology |
| Location | Iha Hematology Oncology Oakland, Pontiac, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003852732 | NPI | - | NPPES |
| 112933190 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | JG007915 (Michigan) | Secondary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | 5101007915 (Michigan) | Primary |
| Entity Name | Sjmh Medical Practice-smhc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346284684 PECOS PAC ID: 8628965175 Enrollment ID: O20040301000770 |
| Entity Name | Newland Medical Associates, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952330789 PECOS PAC ID: 2668490251 Enrollment ID: O20051130000071 |
| Entity Name | Iha Olma Specialty Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457949588 PECOS PAC ID: 8426464884 Enrollment ID: O20210309002554 |
| Mailing Address | Practice Location Address |
|---|---|
| Judie R Goodman, DO 24 Frank Lloyd Wright Drive, Suite J2000, Ann Arbor, MI 48105 Ph: (248) 552-0620 | Judie R Goodman, DO Iha Hematology Oncology Oakland, 44405 Woodward Avenue, Suite 202, Pontiac, MI 48341-5023 Ph: (248) 858-2270 |
Dr. Kalyana S Ramamurthi, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 44200 Woodward Ave, Suie 209, Pontiac, MI 48341 Phone: 248-253-0330 Fax: 248-253-1982 | |
Dr. Ravinder Kamal Singala, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3000 | |
Dr. Fahd Al-saghir, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 44200 Woodward Ave, Suite 209, Pontiac, MI 48341 Phone: 248-253-0330 Fax: 248-253-1982 | |
Dr. Matthew Lee Edwards, D.O, Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5000 | |
Athanasios Garbis, DPM Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5392 | |
Dr. Aayushman Misra, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, St. Joseph Mercy Oakland, Pontiac, MI 48341 Phone: 248-495-6470 |