| Timothy Mervak, MD | |
|
16001 W 9 Mile Rd, Dept Of Pathology, Southfield, MI 48075-4818 | |
| (248) 849-3270 | |
| (248) 849-5392 |
| Full Name | Timothy Mervak |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 16001 W 9 Mile Rd, Southfield, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033118690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 4301048517 (Michigan) | Primary |
| Entity Name | Michigan Diagnostic Pathologists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578734281 PECOS PAC ID: 9739253279 Enrollment ID: O20080801000275 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Mervak, MD 25925 Telegraph Rd, 210, Southfield, MI 48034-2518 Ph: (248) 746-0342 | Timothy Mervak, MD 16001 W 9 Mile Rd, Dept Of Pathology, Southfield, MI 48075-4818 Ph: (248) 849-3270 |
Dr. Gerard Mitchell Housey, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 16800 W 12 Mile Rd, Suite 201, Southfield, MI 48076 Phone: 248-663-7000 Fax: 248-663-7007 | |
Alan Howard Braunstein, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 16001 West Nine Mile Road, Dept Of Pathology, Southfield, MI 48075 Phone: 248-849-3000 | |
Padmini Kepul Nayak, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 16001 W 9 Mile Rd, Dept Of Pathology, Southfield, MI 48075 Phone: 248-849-3000 Fax: 248-849-5392 | |
Juanita Evans, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3982 | |
Hema Govil, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Farooq Ahmed Minhas, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Dept Of Pathology, Southfield, MI 48075 Phone: 248-849-3000 Fax: 248-849-5392 |