NPIMap

Organization Active NPI

Vax Solution Inc

  • Internal Medicine Physician
  • Roseville, MI
National Provider Identifier
1083210488
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VAX SOLUTION INC
Practice address
19263 E 10 Mile Rd Ste D
Roseville, MI 48066-3903
Phone
(248) 953-0526
NPI assigned
Dec 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Authorized official

Name
Dr. Malaz Alatassi, MD
Title
Owner
Phone
(248) 953-0526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

19263 E 10 Mile Rd Ste D
Roseville, MI 48066-3903

Mailing address

19263 E 10 Mile Rd Ste D
Roseville, MI 48066-3903
Phone (586) 238-2060

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1083210488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19263 E 10 MILE RD STE D",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480663903",
            "telephone_number": "586-238-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19263 E 10 MILE RD STE D",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480663903",
            "telephone_number": "248-953-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAX SOLUTION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "ALATASSI",
        "authorized_official_first_name": "MALAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-953-0526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.