Allen Park Internal Medicine P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301043492 Issued in MI

Legal business name

ALLEN PARK INTERNAL MEDICINE P.C.

Practice address

14551 Southfield Rd
Suite 1
Allen Park, MI 48101-2687

Phone

(313) 388-0910

Fax

(313) 388-6630

NPI assigned

Mar 3, 2016

Last updated

Mar 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Nusrat Z. Rahman, M.D.

Title

Owner

Phone

(313) 590-7705

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Muhammad Wasiullah, MD

  • Internal Medicine Physician
  • Allen Park, MI
  • NPI 1295758415
  NPD

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1013377027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14551 SOUTHFIELD RD",
            "address_2": "SUITE 1",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012687",
            "telephone_number": "313-388-0910",
            "fax_number": "313-388-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14551 SOUTHFIELD RD",
            "address_2": "SUITE 1",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012687",
            "telephone_number": "313-388-0910",
            "fax_number": "313-388-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN PARK INTERNAL MEDICINE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "NUSRAT",
        "authorized_official_middle_name": "Z.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-590-7705",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301043492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allen Park Family Physicians PLC
• Allen Park Footcare Specialist PLLC
• Allen Park Medical Center PLLC
• Allen Park Pharmacy LLC (PharMor Pharmacy-Allen Park)
• Allen Park Premier Physical Therapy LLC
• Allen Park Urgent Visit PLLC
• Anwar Almaisari

• Internal Medicine Physician in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.