| Nicholas Mazur, | |
| 4201 Saint Antoine St Ste 9-c, Detroit, MI 48201-2153 | |
| (313) 745-7233 | |
| Not Available | 
| Full Name | Nicholas Mazur | 
|---|---|
| Gender | Male | 
| Speciality | Anesthesiology | 
| Location | 4201 Saint Antoine St Ste 9-c, Detroit, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1043951825 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | 5101028443 (Michigan) | Primary | 
| Entity Name | Beaumont Medical Group Hospital Based Services | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Nicholas Mazur, 4201 Saint Antoine St Ste 9-c, Detroit, MI 48201-2153 Ph: (313) 745-7233 | Nicholas Mazur, 4201 Saint Antoine St Ste 9-c, Detroit, MI 48201-2153 Ph: (313) 745-7233 | 
| Mousab Eteer,  Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 800-653-6568 | |
| Chisaokwu Duru,  Anesthesiology Medicare: Medicare Enrolled Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-7233 | |
| Dr. Puja Laroia, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 4201 Saint Antoine St, Detroit, MI 48201 Phone: 313-745-5146 | |
| Dr. Daniel S Rana, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4000 | |
| Dr. Samir F Fuleihan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-8521 | |
| Dr. Srilatha Mallu, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Henry Ford Hospital, Detroit, MI 48202 Phone: 313-916-4872 | |
| Muthuvasuki Veerappan, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 7733 E Jefferson Ave, Detroit, MI 48214 Phone: 313-499-4254 |