Mizrahi Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5101016034 Issued in MI

Legal business name

MIZRAHI MEDICINE

Practice address

7633 E Jefferson Ave Ste 250
Detroit, MI 48214-3731

Phone

(313) 821-3338

Fax

(313) 823-5363

NPI assigned

Nov 22, 2017

Organization subpart

No

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

Authorized official

Name

Daniel S Mizrahi, DONPI 1740499029

Title

Owner

Phone

(248) 890-3994

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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.

• Daniel Saul Mizrahi, D.O.

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1740499029
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511308800000",
    "number": "1023522414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7633 E JEFFERSON AVE STE 250",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143731",
            "telephone_number": "313-821-3338",
            "fax_number": "313-823-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 E JEFFERSON AVE STE 250",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143731",
            "telephone_number": "313-821-3338",
            "fax_number": "313-823-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIZRAHI MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-22",
        "last_updated": "2017-11-22",
        "status": "A",
        "authorized_official_last_name": "MIZRAHI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-890-3994",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101016034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myra Elaine Mixon
• Shannon Mixon
• Shania Maria Mize
• Sebastian Mizgala
• Takeshi Mizobuchi
• Daniel Saul Mizrahi, D.O.
• MJ's Medical Transportation Service
• Asmik Mkrtychyan, FNP
• Savanna Lee Mladenoski
• Krzysztof Mlak, MD

• Internal Medicine Physician in Detroit, MI
• Providers in Detroit, 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 Nov 22, 2017; 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.