| Tamer Nady Boules, MD | |
|
22250 Providence Dr, Suite 555, Southfield, MI 48075-4825 | |
| (248) 424-5748 | |
| (248) 443-1706 |
| Full Name | Tamer Nady Boules |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 28 Years |
| Location | 22250 Providence Dr, Southfield, 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 |
|---|---|---|---|
| 1679525539 | NPI | - | NPPES |
| 0P33080 | Other | MI | PTAN |
| 4870974 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 4301072188 (Michigan) | Primary |
| 208600000X | Surgery | 4301072188 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford West Bloomfield Hospital | West bloomfield, MI | Hospital |
| Henry Ford Hospital | Detroit, MI | Hospital |
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford Health System | 0547178311 | 2304 |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
| Entity Name | Comprehensive Vascular Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538136072 PECOS PAC ID: 5496735664 Enrollment ID: O20060713000146 |
| Mailing Address | Practice Location Address |
|---|---|
| Tamer Nady Boules, MD 22250 Providence Dr, Suite 555, Southfield, MI 48075-4825 Ph: (248) 424-5748 | Tamer Nady Boules, MD 22250 Providence Dr, Suite 555, Southfield, MI 48075-4825 Ph: (248) 424-5748 |
Violet Onkoba, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 27209 Lahser Rd Ste 128, Southfield, MI 48034 Phone: 248-353-0200 | |
Kristopher Mahlon George, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-2600 Fax: 248-849-2610 | |
Khatchadour Hamamdjian, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 27177 Lahser Rd, Suite Number 104, Southfield, MI 48034 Phone: 248-353-6580 Fax: 248-353-0883 | |
Nafisa Kuwajerwala, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 22250 Providence Dr, Suite 700, Southfield, MI 48075 Phone: 248-559-5115 | |
Vijay K Mittal, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 22250 Providence Drive, Suite 703a, Southfield, MI 48075 Phone: 248-849-5862 Fax: 248-849-8117 | |
Dr. Ivan Kamikovski, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3073 | |
Raghav Saini, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 16001 W 9 Mile Rd, Providence Hospital And Medical Centers, Southfield, MI 48075 Phone: 313-603-6648 |