Michigan Physicians Group, PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

4301065276 Issued in MI

Legal business name

MICHIGAN PHYSICIANS GROUP, PC

Practice address

14325 Middlebelt Rd
Livonia, MI 48154-4541

Phone

(734) 427-9222

Fax

(734) 427-6544

NPI assigned

Sep 13, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Dinesh Shah, MD

Title

Medical Doctor/Owner

Phone

(248) 583-0100

Specialties & licenses 4

Addresses

Other identifiers 2

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1134436033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30855 JOHN R RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480715213",
            "telephone_number": "248-583-0100",
            "fax_number": "248-583-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14325 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481544541",
            "telephone_number": "734-427-9222",
            "fax_number": "734-427-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN PHYSICIANS GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "DINESH",
        "authorized_official_title_or_position": "MEDICAL DOCTOR/OWNER",
        "authorized_official_telephone_number": "248-583-0100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301065276",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301066469",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5315028842",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "OF36177",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME PTAN",
            "identifier": "6388420002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michigan Neurosurgeons,PLLC
• Michigan Ophthalmology Specialists, PLLC
• Michigan Orthopedic Services LLC
• Michigan Pediatric Surgery Center PC
• Michigan Physicians Group, P.C.
• Michigan Preventive Care
• Michigan Psychological and Counseling Institute PLLC
• Michigan Rehab & Pain Management
• Michigan Reproductive Labs PC
• Michigan Reproductive Surgery Center PC

• Cardiovascular Disease Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.