Mehboob Mohammed Sarlique Fatteh, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

044293 Issued in MI

Practice address

401 W Greenlawn Ave
Lansing, MI 48910-2819

Phone

(810) 733-7741

NPI assigned

Sep 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• McLaren Health Management Group

  • Pain Medicine Physician
  • Port Huron, MI
  • NPI 1912072349
  Medicare reassignment NPD
• McLaren Health Management Group

  • Clinical Pathology/Laboratory Medicine Physician
  • Flint, MI
  • NPI 1205264579
  NPD
• McLaren Health Management Group

  • Clinical Medical Laboratory
  • Flint, MI
  • NPI 1477938686
  NPD

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1205928702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3490 CALKINS RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323506",
            "telephone_number": "810-733-7741",
            "fax_number": "810-733-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W GREENLAWN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489102819",
            "telephone_number": "810-733-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATTEH",
        "first_name": "MEHBOOB",
        "middle_name": "MOHAMMED SARLIQUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MI",
            "license": "044293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra J. Farrell, PHD, LPC, CCMHC, NCC
• Jaimie L Fast, ARNP
• Lynnette Sue Fast, OTR
• Sahar Fathi, DDS
• Zainab Fatima
• Brenna Fauer
• John Faust, D.D.S.,M.S.
• Mariah Fedewa
• Molly Fedewa
• Sean Feehery, LPC

• Anatomic Pathology & Clinical Pathology Physician in Lansing, MI
• Providers in Lansing, MI by specialty
• Anatomic Pathology & Clinical Pathology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.