Sultana R Ghuznavi MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301040612 Issued in MI

Legal business name

SULTANA R GHUZNAVI MD PC

Practice address

25412 Goddard Rd
Taylor, MI 48180-6200

Phone

(313) 292-4110

Fax

(313) 292-9512

NPI assigned

Apr 1, 2009

Organization subpart

No

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

Authorized official

Name

Sultana R Ghuznavi, M.D.

Title

Owner

Phone

(313) 292-4110

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1144462482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25412 GODDARD RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481806200",
            "telephone_number": "313-292-4110",
            "fax_number": "313-292-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25412 GODDARD RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481806200",
            "telephone_number": "313-292-4110",
            "fax_number": "313-292-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULTANA R GHUZNAVI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "GHUZNAVI",
        "authorized_official_first_name": "SULTANA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-292-4110",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301040612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1432673",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juanita Gail Stratton
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• SVS Vision Inc
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• Jerome Switch, D.O.

• Specialist in Taylor, MI
• Providers in Taylor, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.