DR. ROGER KAKOS KAKOS


Address: 4201 Saint Antoine St, Detroit, MI 48201-2153
Phone: 3135775009

DR. ROGER KAKOS KAKOS (NPI# 1578772687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578772687
Entity Type Individual
Full Name DR. ROGER KAKOS KAKOS
Credential MD
Practice Address 4201 Saint Antoine St
Detroit
MI 48201-2153
Mailing Address 14470 Labelle St
Oak Park
MI 48237-1148
Practice Telephone 3135775009
Mailing Telephone 2488423255
Enumeration Date 2007-05-22
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 2085R0202X Radiology
Specialization: Diagnostic Radiology
4301086248 MI Allopathic & Osteopathic Physicians
X 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
4301086248 MI Allopathic & Osteopathic Physicians
X 208600000X Surgery 4301086248 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 4201 SAINT ANTOINE ST
City DETROIT
State MI
Zip Code 48201-2153

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760477871 John Mckay Perkowski Nurse Anesthetist, Certified Registered 4201 Saint Antoine St, Detroit, MI 48201-2153 2005-09-14
1013517028 Madappulli Arachchige Wickrama Student in an Organized Health Care Education/Training Program 4201 Saint Antoine St, Detroit, MI 48201-2153 2020-10-28
1134731466 Helda Bacall Nurse Practitioner 4201 Saint Antoine St, Detroit, MI 48201-2153 2020-08-18
1568088680 Michelle De Varennes Physician Assistant 4201 Saint Antoine St, Detroit, MI 48201-2153 2020-06-24
1235754144 Saren Yeranosian Pharmacist 4201 Saint Antoine St, Detroit, MI 48201-2153 2020-06-16
1083239230 Jacqueline Ferraro-jaworski Pharmacist 4201 Saint Antoine St, Detroit, MI 48201-2153 2020-06-13
1770107617 Zamaan Sayeed Sohel Student in an Organized Health Care Education/Training Program 4201 Saint Antoine St, Detroit, MI 48201-2153 2020-06-06
1881218790 Erin Marie Dinnell Nurse Practitioner 4201 Saint Antoine St, Detroit, MI 48201-2153 2020-06-05
1487276721 Andrew R Kumar Student in an Organized Health Care Education/Training Program 4201 Saint Antoine St, Detroit, MI 48201-2153 2020-05-09
1598386005 Kayla Richelle Robinson Student in an Organized Health Care Education/Training Program 4201 Saint Antoine St, Detroit, MI 48201-2153 2020-05-06
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1730707720 Amr Hassan Abdelghaffar Omar Pediatrics 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 2020-07-07
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
1477176576 Jaudat Fatima Masood Student in an Organized Health Care Education/Training Program 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 2020-05-22
1205459419 Amit Kumar Dahiya Student in an Organized Health Care Education/Training Program 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 2020-05-21
1851914188 Asra Nausheen Shaik Student in an Organized Health Care Education/Training Program 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 2020-05-21
1568085751 Camille Olechowski Student in an Organized Health Care Education/Training Program 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 2020-05-21
Find all providers in zip 48201

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194017970 Zhen Wu Radiology 4646 John R St., Radiology Department, Detroit, MI 48201 2011-05-11
1548492028 Joseph Ugorji Radiology 5766 Trumbull St Apt 112, Detroit, MI 48208-1776 2009-08-17
1194954867 Nithin Thummala Radiology 4201 Saint Antoine St Rm 3l-8, Detroit, MI 48201-2153 2009-07-02
1659509305 Sanjay N Soni Radiology 4201 St Antoine 9c Uhc, Detroit Medical Center, Detroit, MI 48201 2009-07-01
1700010311 Pratima Karia Radiology 4201 Saint Antoine St # 3l8, Department of Radiology, Detroit, MI 48201-2153 2009-05-11
1386816288 Roland E Gazaille IIi Radiology 2799 West Grand Blvd A-4 Diagnostic Radiology, Henry Ford Health System, Detroit, MI 48202-3450 2008-03-31
1144430422 Khalid Kurbanali Javeri Radiology 2799 W Grand Blvd Ste 109, Detroit, MI 48202-2608 2007-05-23
1588871826 Khurshaid Alam Radiology 4648 John R St, John Dingell Va Medical Center, Detroit, MI 48201-1916 2007-05-17
1659449395 Matthew C. Rheinboldt Radiology 2799 W. Grand Blvd, Henry Ford Dept of Radiology, Detroit, MI 48202-2689 2006-12-01
1528077567 Sampath Ramachandran Radiology 2799 West Grand Boulevard, Detroit, MI 48202 2006-08-07
Find all providers in DETROIT

Competitor

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City DETROIT
Zip Code 48201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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