Chronic Care Management Solutions LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CHRONIC CARE MANAGEMENT SOLUTIONS LLC

Practice address

18000 W 9 Mile Rd Ste 375
Southfield, MI 48075-4085

Phone

(313) 946-0006

Fax

(313) 946-0009

NPI assigned

Mar 21, 2024

Organization subpart

No

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

Authorized official

Name

Sameera Shafiq

Title

Director

Phone

(313) 946-0006

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1033979471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27139 STARKEY LN",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481748501",
            "telephone_number": "313-946-0006",
            "fax_number": "313-946-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18000 W 9 MILE RD STE 375",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754085",
            "telephone_number": "313-946-0006",
            "fax_number": "313-946-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRONIC CARE MANAGEMENT SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "SHAFIQ",
        "authorized_official_first_name": "SAMEERA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-946-0006"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.