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Alexis Ann Davenport, MD

Radiology, Diagnostic Radiology in Detroit, MI. Individual provider (NPI-1).

NPI number1457713620
StatusActive
Last updated in NPPESMay 26, 2022

Details

NPI
1457713620
Entity type
Individual (NPI-1)
Name
Alexis Ann Davenport
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Mar 25, 2016
Certification date
May 26, 2022
Last updated
May 26, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - DIAGNOSTIC RADIOLOGY
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology4301506614MIYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

2799 W Grand Blvd
C/O Henry Ford Hospital, Medical Education Department
Detroit, MI 48202-2608

Phone 313-916-2600

Mailing address

2799 W Grand Blvd
C/O Henry Ford Hospital, Medical Education Department
Detroit, MI 48202-2608

Phone 313-916-2600

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Other Diagnostic Radiology Physician providers in Detroit, MI

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