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Luai Fadi Madanat

Internal Medicine

Allopathic & Osteopathic Physicians

3601 W 13 Mile Road, Royal Oak, MI 48073

PECOS Enrollment

This provider is enrolled in PECOS as LUAI MADANAT.

Based on the most recent information from CMS, provider Luai Fadi Madanat is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:21 AM.

Profile Details

Provider ID
1255956389
Provider Type
Individual
Full Name
Madanat, Luai Fadi
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
6/15/2020
Last Updated
6/13/2023

Contact Information

Practice Location

3601 W 13 Mile Road, Royal Oak, MI 48073

(248) 898-4163

Mailing Location

3601 W 13 Mile Road, Royal Oak, MI 48073

(248) 551-3000

(248) 551-9425

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 4351046277 Michigan
Code 207RC0000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 4351046277 Michigan

Luai Fadi Madanat

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Ammakola, Yagnapriya

Moazzam, Mujtaba

Niazi, Summer

Amal, Tanya

T N Kakish Md Pc

Yeo, Yong Hao

Zalesin, Kerstyn

El Sayed, Farah

Brito, Evelyn J

Taoudi Benchekroun, Mohammed