Community Medical Group Inc

Primary specialty

Legal MedicineTaxonomy code 173000000X

Legal business name

COMMUNITY MEDICAL GROUP INC

Practice address

9477 N Territorial Rd Ste 100
Dexter, MI 48130-8583

Phone

(734) 525-6703

NPI assigned

Sep 26, 2010

Last updated

Sep 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ishaq Vaid

Title

President/Owner

Phone

(734) 525-6703

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1285459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285459200000",
    "number": "1134438146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9477 N TERRITORIAL RD STE 100",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481308583",
            "telephone_number": "734-525-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9477 N TERRITORIAL RD STE 100",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481308583",
            "telephone_number": "734-525-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-26",
        "last_updated": "2010-09-26",
        "status": "A",
        "authorized_official_last_name": "VAID",
        "authorized_official_first_name": "ISHAQ",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "734-525-6703"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Legal Medicine in Dexter, MI
• Providers in Dexter, MI by specialty
• Legal Medicine in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2010; 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.