Bloomfield Neurology Clinic, P.C.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

4301073017 Issued in MI

Legal business name

BLOOMFIELD NEUROLOGY CLINIC, P.C.

Practice address

43494 Woodward Ave
Suite 103
Bloomfield Hills, MI 48302-5052

Phone

(248) 338-8400

Fax

(248) 338-8151

NPI assigned

Aug 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Sayyed Sohrab, MD

Title

President

Phone

(248) 338-8400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1013108810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43494 WOODWARD AVE",
            "address_2": "SUITE 103",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025052",
            "telephone_number": "248-338-8400",
            "fax_number": "248-338-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43494 WOODWARD AVE",
            "address_2": "SUITE 103",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025052",
            "telephone_number": "248-338-8400",
            "fax_number": "248-338-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMFIELD NEUROLOGY CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "SOHRAB",
        "authorized_official_first_name": "SAYYED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-338-8400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301073017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bloomfield Hills SNF LLC
• Bloomfield Hills Surgery Center
• Bloomfield Hills Surgery Center
• Bloomfield House, Inc
• Bloomfield Internal Medicine Assoc PC
• Bloomfield Neurology Clinic, P.C.
• Bloomfield OBGYN Specialists
• Bloomfield Optical Studios, PC
• Bloomfield Oral & Maxillofacial Surgery PLLC
• Bloomfield Oral & Maxillofacial Surgery, P.C.

• Neurology Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.