Mohamed Amjad Soofi, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MS049788 Issued in MI

Practice address

2252 N Monroe St
Monroe, MI 48162-4254

Phone

(734) 241-2726

Fax

(734) 241-2744

NPI assigned

Aug 8, 2006

Last updated

Feb 20, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Mohamed Soofi, MD PC

  • Family Medicine Physician
  • Monroe, MI
  • NPI 1821201468
  Authorized official Same address or phone
• March Medical Associates PC

  • Internal Medicine Physician
  • Monroe, MI
  • NPI 1598329526
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1235149899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2252 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624254",
            "telephone_number": "734-241-2726",
            "fax_number": "734-241-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2252 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624254",
            "telephone_number": "734-241-2726",
            "fax_number": "734-241-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOOFI",
        "first_name": "MOHAMED",
        "middle_name": "AMJAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "MS049788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "14196B",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3940001003",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0105801292",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4036635",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4075860",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jared Snoke, MD
• Karla Rishelle Snyder-Barker, LMSW
• Sobaks Home Medical Inc.
• George Beniamin Socaciu, DO
• Anthony B Songco, MD
• Erica Sottile, CRNA
• Soudabeh Ahadi MD PC
• Southeast Harbor Inc
• Chelia Minon Spencer, PTA
• Gabrielle Spillane

• Family Medicine Physician in Monroe, MI
• Providers in Monroe, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.