| Koichi Maeda, MD | |
|
2799 W Grand Blvd, 2799 West Grand Boulevard, Detroit, MI 48202-2608 | |
| (313) 916-2436 | |
| Not Available |
| Full Name | Koichi Maeda |
|---|---|
| Gender | Male |
| Speciality | Pathology - Hematology |
| Location | 2799 W Grand Blvd, Detroit, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003964719 | NPI | - | NPPES |
| KM034888 | Other | CHAMPUS-CHAMPUS | |
| KM034888 | Other | COMMERCIAL-COMMERCIAL NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 034888 (Michigan) | Primary |
| 207ZH0000X | Pathology - Hematology | 034888 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Koichi Maeda, MD 2799 W Grand Blvd, 2799 West Grand Boulevard, Detroit, MI 48202-2608 Ph: (313) 916-2436 | Koichi Maeda, MD 2799 W Grand Blvd, 2799 West Grand Boulevard, Detroit, MI 48202-2608 Ph: (313) 916-2436 |
Mohammad Raoufi, MD Pathology Medicare: Medicare Enrolled Practice Location: Henry Ford Hospital, 2799 W Grand Boulevard, Detroit, MI 48202 Phone: 313-916-4027 | |
Eleftherios Vouyoukas, MD, MSC Pathology Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4000 | |
Nazila Azordegan, Pathology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 800-653-6568 | |
Daniel P Snower, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4000 Fax: 313-881-4727 | |
Fulvio Lonardo, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3990 John R St, Harper Hospital Pathology, Detroit, MI 48201 Phone: 313-745-8555 Fax: 313-745-9299 | |
Mousa Ali Al-abbadi, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: Harper Hospital Pathology, 3990 John R, Detroit, MI 48201 Phone: 313-745-8555 |