Daneshvar Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301081745 Issued in MI

Legal business name

DANESHVAR MEDICAL PC

Practice address

13201 Stephens Rd
Suite F
Warren, MI 48089-4340

Phone

(586) 576-7428

NPI assigned

Mar 30, 2015

Organization subpart

No

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

Authorized official

Name

Gerald Daneshvar

Title

Owner

Phone

(586) 576-7428

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1154716074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13201 STEPHENS RD",
            "address_2": "SUITE F",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480894340",
            "telephone_number": "586-576-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13201 STEPHENS RD",
            "address_2": "SUITE F",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480894340",
            "telephone_number": "586-576-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANESHVAR MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "DANESHVAR",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-576-7428"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301081745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassem Dakdouk, PHARMD
• Angeline Victoria Dalal, DDS
• Amanda Marie Damm, ATC
• Kenyetta Damphie
• Genevieve Dandridge
• Dani'S Closet Homecare Services
• Daniel L Jensen D O P L L C
• Ashley L Daniels, OTR
• D'Asia Daniels
• Nadine Tarek Daoud

• Internal Medicine Physician in Warren, MI
• Providers in Warren, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.