Organization Active NPI

Allergy Immunology and Pulmonary Critical Care PC

  • Pulmonary Disease Physician
  • Rochester Hills, MI
National Provider Identifier
1205937786
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
207RP1001X Issued in MI
Legal business name
ALLERGY IMMUNOLOGY AND PULMONARY CRITICAL CARE PC
Practice address
950 W Avon Rd
Suite A2
Rochester Hills, MI 48307-2761
Phone
(248) 651-6430
Fax
(248) 650-1382
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Authorized official

Name
Ibrahim Al-Sanouri, MDNPI 1356452833
Title
Owner
Phone
(248) 651-6430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 207RP1001X MI Primary

Addresses

Primary practice location

950 W Avon Rd
Suite A2
Rochester Hills, MI 48307-2761

Mailing address

950 W Avon Rd
Suite A2
Rochester Hills, MI 48307-2761
Phone (248) 651-6430

Other identifiers 1

IdentifierTypeStateIssuer
4707714MedicaidMI

National Provider Directory

National Provider Directory

Locations

1057 Suncrest Dr
Ste A
Lapeer, MI 48446
Phone (810) 667-1883

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1205937786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 W AVON RD",
            "address_2": "SUITE A2",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072761",
            "telephone_number": "248-651-6430",
            "fax_number": "248-650-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W AVON RD",
            "address_2": "SUITE A2",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072761",
            "telephone_number": "248-651-6430",
            "fax_number": "248-650-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY IMMUNOLOGY AND PULMONARY CRITICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "AL-SANOURI",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-651-6430",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "207RP1001X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4707714",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.