Simba Mujuru

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

7115 Orchard Lake Rd Ste 220
West Bloomfield, MI 48322-3655

Phone

(248) 432-0556

NPI assigned

Mar 21, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1073073516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 ORCHARD LAKE RD STE 220",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223655",
            "telephone_number": "248-432-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 ORCHARD LAKE RD STE 220",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223655",
            "telephone_number": "248-432-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUJURU",
        "first_name": "SIMBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marino Moutafis, REG. AC.
• Moving Forward Counseling, LLC
• Fatima Mufti, RBT
• Rania Muhammad, MD
• Zafarullah Muhammad, M.D.
• Jessica L. Mulbah, PHARMD
• Jennifer Mullins, SLP
• Lindsay Muncey, MA, BCBA, LBA
• Nazia Munir, M.D.
• Bronte Munson, LLMSW

• Contractor in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Contractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.