| Vikas M Shah, MD | |
| Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | |
| (313) 916-2436 | |
| Not Available | 
| Full Name | Vikas M Shah | 
|---|---|
| Gender | Male | 
| Speciality | Anesthesiology | 
| Location | Henry Ford Health System, 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 | 
|---|---|---|---|
| 1760550578 | NPI | - | NPPES | 
| VS043597 | Other | CHAMPUS-CHAMPUS | |
| 700H262180 | Other | BLUE CROSS-BLUE CROSS | |
| VS043597 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
| 137288910 | Medicaid | MI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | 4301043597 (Michigan) | Primary | 
| 208VP0000X | Pain Medicine - Pain Medicine | 4301043597 (Michigan) | Secondary | 
| Entity Name | Henry Ford Health System | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1003989690 PECOS PAC ID: 0547178311 Enrollment ID: O20031111000300 | 
| Entity Name | Anesthesia Services Associates Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1497797153 PECOS PAC ID: 4385557602 Enrollment ID: O20031111000822 | 
| Entity Name | Northland Radiology Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1386804060 PECOS PAC ID: 7719884741 Enrollment ID: O20040214000016 | 
| Entity Name | Henry Ford West Bloomfield Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1518104686 PECOS PAC ID: 2264589449 Enrollment ID: O20090403000176 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Vikas M Shah, MD Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Ph: (313) 916-2436 | Vikas M Shah, MD Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Ph: (313) 916-2436 | 
| 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 |