| Woodward Gastroenterology Pc | |
|
1695 12 Mile Rd Suite 220 Berkley MI 48072-2182 | |
| (248) 229-8354 | |
| Not Available |
| Full Name | Woodward Gastroenterology Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1695 12 Mile Rd, Berkley, Michigan |
| Authorized Official Name and Position | Tusar Kishore Desai (OWNER) |
| Authorized Official Contact | 2482298354 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodward Gastroenterology Pc 1257 Club Dr Bloomfield Hills MI 48302-0907 Ph: (248) 229-8354 | Woodward Gastroenterology Pc 1695 12 Mile Rd Suite 220 Berkley MI 48072-2182 Ph: (248) 229-8354 |
| NPI Number | 1104247899 |
|---|---|
| Provider Enumeration Date | 12/23/2013 |
| Last Update Date | 03/07/2014 |
| Medicare PECOS PAC ID | 3476786351 |
|---|---|
| Medicare Enrollment ID | O20140430000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104247899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 4301044285 (Michigan) | Primary |
| Provider Name | Tusar K Desai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740271527 PECOS PAC ID: 2466416615 Enrollment ID: I20100422000444 |
| Provider Name | Ketan G Rana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467442616 PECOS PAC ID: 9335141001 Enrollment ID: I20100923000062 |
| Provider Name | Martin Tobi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396847786 PECOS PAC ID: 7012131279 Enrollment ID: I20140610001858 |
Bmcnh Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3345 Coolidge Hwy, Berkley, MI 48072 Phone: 248-544-7110 Fax: 248-544-7112 | |
Evert Health, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1311 Harvard Rd, Berkley, MI 48072 Phone: 248-736-7553 | |
Pikal Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1695 W 12 Mile Rd, Ste 200, Berkley, MI 48072 Phone: 248-674-3502 | |
Orbital Vision Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2615 12 Mile Rd, Berkley, MI 48072 Phone: 248-881-0613 | |
Justin K Skrzynski, Md, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 28747 Woodward Ave, Berkley, MI 48072 Phone: 248-584-4602 | |
Jeffrey T. Klein, D.p.m., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1695 12 Mile Rd Ste 220, Berkley, MI 48072 Phone: 248-808-6012 |