MEDICARE: WADIH CHACRA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036138923	IL
2	207RG0100X	Gastroenterology Physician	036138923	IL
3	207R00000X	Internal Medicine Physician	4301090067	MI

General Provider Information

NPI Number	:	1457542920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WADIH CHACRA M.D.

Provider Business Mailing Address
First Line	:	1350 W BETHUNE ST
Second Line	:	APT 910
City	:	DETROIT
State	:	MI
Zip	:	48202-2600
Country	:	US
Telephone Number	:	313-529-5999
Fax Number	:

Provider Business Practice Location Address
First Line	:	1350 W BETHUNE ST
Second Line	:	APT 910
City	:	DETROIT
State	:	MI
Zip	:	48202-2600
Country	:	US
Telephone Number	:	313-529-5999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2007
Last Update Date	:	06/02/2025

Similar Medicare Providers

1326233826 — DR. MARIO NJEIM M.D
Practice Location Address:

1350 W BETHUNE ST , APP 910
DETROIT, MI
48202-2600

Practice Phone: 313-529-5664
Practice Fax:

1003143397 — HENRY FORD HOSPITAL
Practice Location Address:

1350 W BETHUNE ST , APT 802
DETROIT, MI
48202-2600

Practice Phone: 862-754-9322
Practice Fax:

1114758448 — DR. AYAT HAROON ALNI'MAT MD
Practice Location Address:

1350 W BETHUNE ST
DETROIT, MI
48202-2600

Practice Phone: 313-480-5837
Practice Fax:

1629586201 — MS. JASMINE RAENA RUBIO
Practice Location Address:

2600 GARLAND ST
DETROIT, MI
48214-4037

Practice Phone: 313-344-7006
Practice Fax:

1336095728 — AASIYA A YAASIIN
Practice Location Address:

400 RENAISSANCE CTR. , STE 2600
DETROIT, MI
48243-1502

Practice Phone: 777-349-6317
Practice Fax:

1174107817 — MORGAN RIEBEL NP
Practice Location Address:

400 RENAISSANCE CTR STE 2600
DETROIT, MI
48243-1599

Practice Phone: 888-731-8994
Practice Fax:

Directions to “ WADIH CHACRA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.