NPIMap

Organization Active NPI

Allen Park Internal Medicine P.C.

  • Internal Medicine Physician
  • Allen Park, MI
National Provider Identifier
1013377027
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301043492 MI Primary

Addresses

Primary practice location

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

Mailing address

14551 Southfield Rd
Suite 1
Allen Park, MI 48101-2687
Phone (313) 388-0910

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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": []
}

Other providers in Allen Park, MI

Sources for this page

  • 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.