| Stephen Paul D'addario, MD | |
|
28315 Harper Avenue, St Clair Shores, MI 48081 | |
| (586) 552-1710 | |
| (586) 552-1715 |
| Full Name | Stephen Paul D'addario |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 28315 Harper Avenue, St Clair Shores, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821006784 | NPI | - | NPPES |
| 4422545 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301049083 (Michigan) | Primary |
| Entity Name | Eastside Internal Medicine Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831201821 PECOS PAC ID: 5496854713 Enrollment ID: O20070627000007 |
| Entity Name | Eim Choice Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568981025 PECOS PAC ID: 2769748011 Enrollment ID: O20171102001627 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Paul D'addario, MD 28315 Harper Avenue, St Clair Shores, MI 48081 Ph: (586) 552-1710 | Stephen Paul D'addario, MD 28315 Harper Avenue, St Clair Shores, MI 48081 Ph: (586) 552-1710 |
Sudhanshu Patel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 28963 Little Mack Ave, Suite 101, St Clair Shores, MI 48081 Phone: 586-447-0700 Fax: 586-498-0707 | |
Dr. George B Ghanem, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24211 Little Mack Ave, St Clair Shores, MI 48080 Phone: 586-498-0440 Fax: 586-498-0401 | |
Wafaa S. Hanna, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 25319 Little Mack Ave, St Clair Shores, MI 48081 Phone: 586-447-4000 Fax: 586-447-4009 | |
Thomas Patrick Davis, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24211 Little Mack Ave, St Clair Shores, MI 48080 Phone: 586-498-0440 Fax: 586-498-0401 | |
Eric Newman Neisch, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 28315 Harper Avenue, St Clair Shores, MI 48081 Phone: 586-552-1710 Fax: 586-552-1715 | |
Magdy George Wanis, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 23600 Harper Ave, Ste 103, St Clair Shores, MI 48080 Phone: 586-585-2570 Fax: 586-585-2574 | |
Harivallabh D Pandya, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 28300 Harper Ave, St Clair Shores, MI 48081 Phone: 586-778-6090 Fax: 586-778-1943 |