Organization Active NPI

Synergy Health, PC

  • Internal Medicine Physician
  • West Bloomfield, MI
National Provider Identifier
1104010065
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SYNERGY HEALTH, PC
Practice address
33200 W 14 Mile Rd
Suite 150
West Bloomfield, MI 48322-3549
Phone
(248) 565-4655
Fax
(248) 565-4656
NPI assigned
Sep 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Nishath Khurshid Hakim, MD
Title
Owner/President
Phone
(248) 565-4655

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

33200 W 14 Mile Rd
Suite 150
West Bloomfield, MI 48322-3549

Mailing address

33200 W 14 Mile Rd
Suite 150
West Bloomfield, MI 48322-3549
Phone (248) 565-4655

National Provider Directory

National Provider Directory

Locations

2275 Momentum Pl
Chicago, IL 60689

33200 W 14 Mile Rd
Ste 150
West Bloomfield, MI 48322
Phone (248) 419-5111

Practitioners & affiliated clinicians

Practitioners 1

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": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1104010065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33200 W 14 MILE RD",
            "address_2": "SUITE 150",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223549",
            "telephone_number": "248-565-4655",
            "fax_number": "248-565-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33200 W 14 MILE RD",
            "address_2": "SUITE 150",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223549",
            "telephone_number": "248-565-4655",
            "fax_number": "248-565-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "HAKIM",
        "authorized_official_first_name": "NISHATH",
        "authorized_official_middle_name": "KHURSHID",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "248-565-4655",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 4, 2007; 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.