Organization Active NPI

Esmael H Amjad MD PC

  • Otolaryngology Physician
  • West Bloomfield, MI
National Provider Identifier
1043495864
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
4301078515 Issued in MI
Legal business name
ESMAEL H AMJAD MD PC
Practice address
33200 W 14 Mile Rd
Ste 230
West Bloomfield, MI 48322-3563
Phone
(248) 539-9060
Fax
(248) 539-9202
NPI assigned
Dec 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Authorized official

Name
Esmael H Amjad, MD
Title
President
Phone
(248) 926-6673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 4301078515 MI Primary

Addresses

Primary practice location

33200 W 14 Mile Rd
Ste 230
West Bloomfield, MI 48322-3563

Mailing address

33200 W 14 Mile Rd
Ste 230
West Bloomfield, MI 48322-3563
Phone (248) 539-9060

National Provider Directory

National Provider Directory

Locations

33200 W 14 Mile Rd
Ste 230
West Bloomfield, MI 48322
Phone (248) 539-9060

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1043495864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33200 W 14 MILE RD",
            "address_2": "STE 230",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223563",
            "telephone_number": "248-539-9060",
            "fax_number": "248-539-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33200 W 14 MILE RD",
            "address_2": "STE 230",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223563",
            "telephone_number": "248-539-9060",
            "fax_number": "248-539-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESMAEL H AMJAD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "AMJAD",
        "authorized_official_first_name": "ESMAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-926-6673",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301078515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.