| Dr Tariq Elagamy, DPM | |
|
29433 Ryan Rd, Warren, MI 48092-2203 | |
| (596) 574-0500 | |
| Not Available |
| Full Name | Dr Tariq Elagamy |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 29433 Ryan Rd, Warren, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003436486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 5901400497 (Michigan) | Primary |
| Provider Name | Charles G Kissel Dpm Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1013001221 PECOS PAC ID: 9436167814 Enrollment ID: O20060327000405 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tariq Elagamy, DPM 29433 Ryan Rd, Warren, MI 48092-2203 Ph: (586) 574-0500 | Dr Tariq Elagamy, DPM 29433 Ryan Rd, Warren, MI 48092-2203 Ph: (596) 574-0500 |
Balanced Podiatry Care Podiatrist Medicare: Medicare Enrolled Practice Location: 30205 Schoenherr Rd Ste A, Warren, MI 48088 Phone: 586-751-1288 Fax: 586-299-2001 | |
Dr Anthony Weinert Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3272 E 12 Mile Rd, Suite 101, Warren, MI 48092 Phone: 586-751-3338 Fax: 586-751-3312 | |
Charles G Kissel Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 29433 Ryan Rd, Warren, MI 48092 Phone: 586-574-0500 Fax: 586-574-2694 | |
Dr. Gary Mauro, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3701 E 13 Mile Rd, Warren, MI 48092 Phone: 586-979-1060 | |
Edward S. Gordon Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 25656 Schoenherr Road, Warren, MI 48089 Phone: 586-779-4820 Fax: 586-779-9535 | |
Charles G Kissel Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 29433 Ryan Rd, Warren, MI 48092 Phone: 586-574-0500 Fax: 586-574-2694 |