| Randall R Walter, MD | |
|
Henry Ford Health System, 19401 Hubbard Drive, Dearborn, MI 48126 | |
| (313) 982-8370 | |
| (313) 982-8165 |
| Full Name | Randall R Walter |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | Henry Ford Health System, Dearborn, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275601916 | NPI | - | NPPES |
| 137318910 | Medicaid | MI | |
| RW041028 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
| RW041028 | Other | CHAMPUS-CHAMPUS | |
| 700H262300 | Other | BLUE CROSS-BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 4301041028 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Randall R Walter, MD Henry Ford Health System, 19401 Hubbard Drive, Dearborn, MI 48126 Ph: (313) 982-8370 | Randall R Walter, MD Henry Ford Health System, 19401 Hubbard Drive, Dearborn, MI 48126 Ph: (313) 982-8370 |
Frankju A Arevalo, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 | |
Dr. Rohan Lalith Deraniyagala, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 248-551-5490 | |
Jerry W Drake, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 | |
Hassan Hamadi, DO Radiology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 | |
Joon K Kim, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 | |
Sophia M Roumanis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 | |
Michael F Zydeck, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 840 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-359-7650 Fax: 313-359-7660 |