Hamtramck Pediatrics

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

4301057394 Issued in MI

Legal business name

HAMTRAMCK PEDIATRICS

Practice address

12033 Conant Road
Hamtramck, MI 48212

Phone

(313) 366-4000

Fax

(313) 366-4001

NPI assigned

Mar 31, 2011

Last updated

Feb 7, 2012By 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

Moniruzzaman Khan, M.DNPI 1477592905

Title

Pediatrician

Phone

(313) 366-4000

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• Moniruzzaman Khan, MD

  • General Practice Physician
  • Warren, MI
  • NPI 1477592905
  NPD (past) Authorized official
• Sonia Kassandra Soto, APRN, FNP-BC

  • Nurse Practitioner
  • Livonia, MI
  • NPI 1376366815
  NPD (past)

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1033408935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12033 CONANT ROAD",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "48212",
            "telephone_number": "313-366-4000",
            "fax_number": "313-366-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12033 CONANT ROAD",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "48212",
            "telephone_number": "313-366-4000",
            "fax_number": "313-366-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMTRAMCK PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MONIRUZZAMAN",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "313-366-4000",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301057394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP UPIN NUMBER",
            "identifier": "G97370",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4149524",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hamtramck Family Health Care PC
• Hamtramck General Medical Practice PLLC
• Hamtramck Medical Equipment Supply Inc
• Hamtramck Medical Group, PC
• Hamtramck Medical Pharmacy LLC (Pharmor Pharmacy-Hamtramck)
• Hamtramck PT & Rehab Inc.
• Hamtramck Walk-in Clinic
• Almedina Hantalasevic
• Houssein Harajli, D.D.S.
• Hares Property Management Co (harris dental)

• Primary Care Clinic/Center in Hamtramck, MI
• Providers in Hamtramck, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.