NPIMap

Organization Active NPI

Jawad a Shah MD PC

  • Durable Medical Equipment & Medical Supplies
  • Dearborn, MI
National Provider Identifier
1114667763
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JAWAD A SHAH MD PC
Practice address
5111 Auto Club Dr
Dearborn, MI 48126-2749
Phone
(810) 275-9333
NPI assigned
Mar 31, 2022
Last updated
Dec 23, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
JAWAD A SHAH MD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Authorized official

Name
Mohammad Nadir Ijaz
Title
Coo
Phone
(810) 275-9371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

5111 Auto Club Dr
Dearborn, MI 48126-2749

Mailing address

5111 Auto Club Dr
Dearborn, MI 48126-2749
Phone (810) 275-9333

National Provider Directory

National Provider Directory
Part of
Jawad Ali Shah MD PC

Locations

5680 Bow Pointe Dr
Ste 102
Clarkston, MI 48346
Phone (248) 221-1845

3390 N State Rd
Ste B
Davison, MI 48423
Phone (810) 275-9610

G3317 Beecher Rd
Flint, MI 48532
Phone (810) 720-0800

Practitioners & affiliated clinicians

Practitioners 227

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 227

NPI Registry JSON

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671753600000",
    "number": "1114667763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 AUTO CLUB DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262749",
            "telephone_number": "810-275-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 AUTO CLUB DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262749",
            "telephone_number": "810-275-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAWAD A SHAH MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAWAD A SHAH MD PC",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A",
        "authorized_official_last_name": "IJAZ",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "NADIR",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "810-275-9371"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; 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.