Riyadh P. Kasmikha, M.D., P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301072937 Issued in MI

Legal business name

RIYADH P. KASMIKHA, M.D., P.C.

Practice address

28500 Southfield Rd
Suite 200
Lathrup Village, MI 48076-2722

Phone

(248) 440-2185

Fax

(248) 440-2189

NPI assigned

Aug 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Riyadh P Kasmikha, M.D.NPI 1013980531

Title

Owner/President

Phone

(248) 440-2185

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Riyadh P Kasmikha, M.D.

  • Internal Medicine Physician
  • Lathrup Village, MI
  • NPI 1013980531
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1174779938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28500 SOUTHFIELD RD",
            "address_2": "SUITE 200",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762722",
            "telephone_number": "248-440-2185",
            "fax_number": "248-440-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28500 SOUTHFIELD RD",
            "address_2": "SUITE 200",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762722",
            "telephone_number": "248-440-2185",
            "fax_number": "248-440-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIYADH P. KASMIKHA, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "KASMIKHA",
        "authorized_official_first_name": "RIYADH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "248-440-2185",
        "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": "4301072937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4498383",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raveend Thabolingam MD PC
• Raymond a Fortson Jr & Associates DDS PC
• Renewed Living LLC
• RHPT LLC
• Rite Away Medical Equipment Inc
• Susan Rizk, DMD MS
• Rizwan M Mufti, MD., PC.
• Rodolfo D Farhy, MD, Facc, Faha, PLLC
• Angela Michelle Rogers, DMD,MS
• Dominique Rondot, CPNP

• Internal Medicine Physician in Lathrup Village, MI
• Providers in Lathrup Village, 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 Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.