DR. MICHAEL E LULENSKI (NPI# 1780630541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780630541 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL E LULENSKI |
| Credential | M.D. |
| Practice Address |
22731 Newman St Ste 250 Dearborn MI 48124-1930 |
| Mailing Address |
32000 Northwestern Hwy Ste 215 Farmington Hills MI 48334-1570 |
| Practice Telephone | 2483449110 |
| Practice Fax Number | 2483449111 |
| Mailing Telephone | 2483449110 |
| Mailing Fax Number | 2483449111 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2019-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
430107249 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LICENSE | 4301071249 | 01 |
| Street Address |
22731 NEWMAN ST STE 250 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-1930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598037061 | Global Versa Radiology, Inc. | Radiology | 5500 Auto Club Dr, Dearborn, MI 48126-2683 | 2012-01-31 |
| 1255598579 | Carlos J Ledezma | Radiology | 4700 Schaefer Rd., Dearborn, MI 48126-3698 | 2008-05-22 |
| 1265631733 | Charles T. Cash IIi | Radiology | 840 Oakwood Blvd, Dearborn, MI 48124-2319 | 2007-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073170221 | Mvc Clinical Practice - Mi PC | Radiology | 7125 Orchard Lake Rd Ste 120, West Bloomfield, MI 48322-3627 | 2019-05-23 |
| 1861905739 | Jacastillano Pllc | Radiology | 5310 Breeze Hill Pl, Troy, MI 48098-2725 | 2017-11-14 |
| 1366852535 | P. Adler, PC | Radiology | 26711 Woodward Ave Suite Ll1, Huntington Woods, MI 48070 | 2014-04-28 |
| 1245664119 | Michigan Institute for Minimally Invasive & Vascular Therapies PC | Radiology | 2370 S Linden Rd Ste 300b, Flint, MI 48532-5429 | 2013-08-28 |
| 1396188595 | Haiying Yu | Radiology | 1215 E Michigan Ave Fl 4, Lansing, MI 48912-1811 | 2013-04-08 |
| 1144549692 | Tatulya Tiwari | Radiology | 1500 E. Medical Center Dr #b1f510k, Rad: Diagnostic Radiology, Ann Arbor, MI 48109-5030 | 2010-05-24 |
| 1811164437 | Faiz D Francis | Radiology | 903 Wesley Dr, Troy, MI 48098-5622 | 2008-05-13 |
| 1851411227 | Chutcharn Kongphanich | Radiology | 1044 Island Drive Ct Apt 104, Ann Arbor, MI 48105-2075 | 2007-03-30 |
| 1629146527 | Advanced Diagnostic Imaging Interventional & Vascular Center | Radiology | 5462 State St, Saginaw, MI 48603-3678 | 2006-12-01 |
| 1922069400 | Progressive Medical Imaging & Minimally Invasive Therapeutics Plc | Radiology | 4200 Fashion Square Blvd, Saginaw, MI 48603-1291 | 2006-04-01 |
| Find all providers with the same taxonomy | ||||
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| 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.