| Kuldip S Deogun, MD | |
|
43145 Schoenherr Rd, Unit #13, Sterling Heights, MI 48313-1955 | |
| (586) 997-5048 | |
| (586) 997-5049 |
| Full Name | Kuldip S Deogun |
|---|---|
| Gender | Male |
| Speciality | Interventional Pain Management |
| Experience | 52 Years |
| Location | 43145 Schoenherr Rd, Sterling Heights, Michigan |
| 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 |
|---|---|---|---|
| 1346288750 | NPI | - | NPPES |
| 0505018431 | Other | MI | BCBS |
| 4840071-10 | Medicaid | MI | |
| 5836031 | Other | MI | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 4301041483 (Michigan) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 4301041483 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Macomb | Mount clemens, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kuldip S Deogun Md Pc | 3678580966 | 7 |
| Entity Name | Kuldip S Deogun Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548207467 PECOS PAC ID: 3678580966 Enrollment ID: O20060310000544 |
| Entity Name | Pain Clinic Management Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225302821 PECOS PAC ID: 9537308192 Enrollment ID: O20130612000385 |
| Mailing Address | Practice Location Address |
|---|---|
| Kuldip S Deogun, MD Po Box 44047, Detroit, MI 48244-0047 Ph: (248) 543-8070 | Kuldip S Deogun, MD 43145 Schoenherr Rd, Unit #13, Sterling Heights, MI 48313-1955 Ph: (586) 997-5048 |
Dr. William Hsu Kole, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 43401 Schoenherr Rd, Sterling Heights, MI 48313 Phone: 586-488-3636 Fax: 554-445-2800 | |
Dr. Saqib R Nakadar, D.O. Pain Medicine Medicare: Medicare Enrolled Practice Location: 37300 Dequindre Rd Ste 102, Sterling Heights, MI 48310 Phone: 586-983-4200 | |
Dr. Ryan Hijazi, D.O Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 9001 15 Mile Rd Ste C, Sterling Heights, MI 48312 Phone: 586-284-2643 Fax: 586-265-2170 |