M. Azhar Ali MD PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MA057064 Issued in MI

Legal business name

M. AZHAR ALI MD PC

Practice address

353 S Old Woodward Ave
Birmingham, MI 48009

Phone

(248) 335-7200

Fax

(248) 335-7726

NPI assigned

Mar 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Julia Carol Schuette

Title

Practice Manager

Phone

(248) 335-7200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohammad Azhar Ali, MD

  • Plastic Surgery Physician
  • Bloomfield Township, MI
  • NPI 1952385593
  Medicare reassignment NPD
• Michaela Malko, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Monroe, MI
  • NPI 1982273256
  NPD
• Lori A. Haddad, D.O.

  • Procedural Dermatology Physician
  • Birmingham, MI
  • NPI 1346265816
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1013033976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 S OLD WOODWARD AVE",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096255",
            "telephone_number": "248-335-7200",
            "fax_number": "248-335-7726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 S OLD WOODWARD AVE",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "48009",
            "telephone_number": "248-335-7200",
            "fax_number": "248-335-7726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. AZHAR ALI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "SCHUETTE",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "248-335-7200"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "MA057064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Liwak, CTRS
• Jamie Loehrke, MD
• Laurie Long
• Louis I White MD
• Valerie Luxon, PSY.D.
• M.S.W. Consultants, Inc.
• Sami Maassarani
• Molly Mackenzie
• Anju Madan
• Anne Maddox

• Plastic Surgery Physician in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Plastic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.