Active NPI
Hassan Amirikia MD PC
- Gynecology Physician
- Southfield, MI
National Provider Identifier
1063735058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 4301031215
- Legal business name
- HASSAN AMIRIKIA MD PC
- Practice address
- 29877 Telegraph Rd
Suite 302
Southfield, MI 48034-1332 - Phone
- (248) 353-8910
- Fax
- (248) 350-3519
- NPI assigned
- Mar 5, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hassan Amirikia, MD
- Title
- President
- Phone
- (248) 353-8910
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | 4301031215 | MI | |
| Gynecology Physician | 207VG0400X | 4301031215 | MI | Primary |
Addresses
Primary practice location
29877 Telegraph Rd
Suite 302
Southfield, MI 48034-1332
Mailing address
29877 Telegraph Rd
Suite 302
Southfield, MI 48034-1332
Phone (248) 353-8910
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181632110 | Medicaid | MI | |
| 135880710 | Medicaid | MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283126400000",
"number": "1063735058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29877 TELEGRAPH RD",
"address_2": "SUITE 302",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341332",
"telephone_number": "248-353-8910",
"fax_number": "248-350-3519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29877 TELEGRAPH RD",
"address_2": "SUITE 302",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341332",
"telephone_number": "248-353-8910",
"fax_number": "248-350-3519"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HASSAN AMIRIKIA MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-05",
"last_updated": "2010-08-30",
"status": "A",
"authorized_official_last_name": "AMIRIKIA",
"authorized_official_first_name": "HASSAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-353-8910",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "MI",
"license": "4301031215",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MI",
"license": "4301031215",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "181632110",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "135880710",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.