NPIMap

Organization Active NPI

David Zukkoor MD PC

  • Internal Medicine Physician
  • Farmington Hills, MI
National Provider Identifier
1144524729
Registry record updated Apr 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301046395 Issued in MI
Legal business name
DAVID ZUKKOOR MD PC
Practice address
30000 Orchard Lake Rd
Farmington Hills, MI 48334-4900
Phone
(248) 851-0500
NPI assigned
Dec 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2011

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

Authorized official

Name
Dr. Namir David Zukkoor, M.D.
Title
Owner
Phone
(248) 851-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301046395 MI Primary

Addresses

Primary practice location

30000 Orchard Lake Rd
Farmington Hills, MI 48334-4900

Mailing address

30000 Orchard Lake Rd
Farmington Hills, MI 48334-4900
Phone (248) 851-0500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302998400000",
    "number": "1144524729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30000 ORCHARD LAKE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483344900",
            "telephone_number": "248-851-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30000 ORCHARD LAKE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483344900",
            "telephone_number": "248-851-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID ZUKKOOR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2011-04-17",
        "status": "A",
        "authorized_official_last_name": "ZUKKOOR",
        "authorized_official_first_name": "NAMIR",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-851-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301046395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.