Modulemd

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

MODULEMD

Practice address

8359 Office Park Dr
Grand Blanc, MI 48439-2078

Phone

(877) 347-7978

NPI assigned

Nov 7, 2025

Organization subpart

No

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

Authorized official

Name

Nicole Pittman

Title

General Manager, Credentialing

Phone

(810) 214-0437

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1023988896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8359 OFFICE PARK DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392078",
            "telephone_number": "877-347-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8359 OFFICE PARK DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392078",
            "telephone_number": "877-347-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODULEMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "GENERAL MANAGER, CREDENTIALING",
        "authorized_official_telephone_number": "810-214-0437"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramesh Misra, M.D.
• Rebecca V Misura
• Nicole Mitchell
• Mobile Rehab Solutions, Inc
• Ashesh Modi
• Kyle G Moehlin, DO
• Nicole E Moffitt
• Amro Mohamed, DO
• Mohammad Amin, M.D.,P.C.
• Zhraa Ali Mohammed

• Allergy & Immunology Physician in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Allergy & Immunology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.