Organization Active NPI

Ban Mechael, MD PC

  • Internal Medicine Physician
  • Livonia, MI
National Provider Identifier
1033301569
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301073200 Issued in MI
Legal business name
BAN MECHAEL, MD PC
Practice address
19930 Farmington Rd
Suite a
Livonia, MI 48152-1433
Phone
(248) 476-6209
Fax
(248) 476-6237
NPI assigned
Aug 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

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

Authorized official

Name
Dr. Ban Mechael, M.D.
Title
Owner
Phone
(248) 476-6209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301073200 MI Primary

Addresses

Primary practice location

19930 Farmington Rd
Suite a
Livonia, MI 48152-1433

Mailing address

19930 Farmington Rd
Suite a
Livonia, MI 48152-1433
Phone (248) 476-6209

Other identifiers 1

IdentifierTypeStateIssuer
4409310MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1033301569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19930 FARMINGTON RD",
            "address_2": "SUITE A",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521433",
            "telephone_number": "248-476-6209",
            "fax_number": "248-476-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19930 FARMINGTON RD",
            "address_2": "SUITE A",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521433",
            "telephone_number": "248-476-6209",
            "fax_number": "248-476-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAN MECHAEL, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "MECHAEL",
        "authorized_official_first_name": "BAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-476-6209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301073200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4409310",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; 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.