| Maha Fakherddine, MD | |
|
159 Kercheval Ave, Grosse Pointe Farms, MI 48236-3610 | |
| (313) 622-2001 | |
| Not Available |
| Full Name | Maha Fakherddine |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 159 Kercheval Ave, Grosse Pointe Farms, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447887146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 328584-01 (New York) | Secondary |
| 207P00000X | Emergency Medicine | 4301514079 (Michigan) | Primary |
| Entity Name | Icahn School Of Medicine At Mount Sinai |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477899078 PECOS PAC ID: 2264691070 Enrollment ID: O20130717000798 |
| Entity Name | Fpa Hospital Based |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629319413 PECOS PAC ID: 4789826694 Enrollment ID: O20130806000185 |
| Entity Name | Icahn School Of Medicine At Mount Sinai |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679083984 PECOS PAC ID: 6103251491 Enrollment ID: O20200114002920 |
| Mailing Address | Practice Location Address |
|---|---|
| Maha Fakherddine, MD 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: (313) 874-4806 | Maha Fakherddine, MD 159 Kercheval Ave, Grosse Pointe Farms, MI 48236-3610 Ph: (313) 622-2001 |
Gary Thomas Neher, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 159 Kercheval Ave, Grosse Pointe Farms, MI 48236 Phone: 313-640-2300 | |
Nicolo Leone, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 159 Kercheval Ave, Grosse Pointe Farms, MI 48236 Phone: 313-640-2300 | |
John L Loomis Jr., MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 159 Kercheval Ave, Grosse Pointe Farms, MI 48236 Phone: 313-640-2300 | |
Dr. Michael Steven Prescott, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 159 Kercheval Ave, Grosse Pointe Farms, MI 48236 Phone: 313-640-2603 | |
Monica Coello, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 159 Kercheval Ave, Grosse Pointe Farms, MI 48236 Phone: 313-640-2300 |