Soudabeh Ahadi MD PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

4301036376 Issued in MI

Legal business name

SOUDABEH AHADI MD PC

Practice address

55 Cole Rd
Monroe, MI 48162-4103

Phone

(734) 242-2022

Fax

(734) 242-2251

NPI assigned

May 1, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Soudabeh Ahadi, M.D.NPI 1174510275

Title

President

Phone

(734) 242-2022

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

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

• Soudabeh Ahadi, M.D.

  • Obstetrics & Gynecology Physician
  • Monroe, MI
  • NPI 1174510275
  Medicare reassignment Care Compare group NPD Authorized official
• Martin Sasan Pakideh, D.O.

  • Obstetrics & Gynecology Physician
  • Monroe, MI
  • NPI 1245492974
  Medicare reassignment Care Compare group NPD
• Andrew Young

  • Family Medicine Physician
  • Monroe, MI
  • NPI 1932722428
  Medicare reassignment Care Compare group NPD
• Azadeh Khaghany, M.D.

  • Pediatrics Physician
  • Monroe, MI
  • NPI 1417065855
  Medicare reassignment NPD
• Sarah Jane Patterson, WHNP-BC

  • Women's Health Nurse Practitioner
  • Riverview, MI
  • NPI 1164793063
  Medicare reassignment NPD
• Anna Cruz, CNM

  • Advanced Practice Midwife
  • Fremont, OH
  • NPI 1861155905

  MI

  Medicare reassignment NPD
• Kianoush Khaghany, MD

  • Obstetrics & Gynecology Physician
  • Clinton TWP, MI
  • NPI 1619959772
  NPD (past)
• Bridget Aileen McLaughlin, CNM

  • Midwife
  • Oregon, OH
  • NPI 1811482953
  NPD (past)

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1235305053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 COLE ROAD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "48162",
            "telephone_number": "734-242-2022",
            "fax_number": "734-242-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 COLE RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624103",
            "telephone_number": "734-242-2022",
            "fax_number": "734-242-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUDABEH AHADI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "AHADI",
        "authorized_official_first_name": "SOUDABEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-242-2022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301036376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1096347",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "05810281",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sobaks Home Medical Inc.
• George Beniamin Socaciu, DO
• Anthony B Songco, MD
• Mohamed Amjad Soofi, M.D.
• Erica Sottile, CRNA
• Southeast Harbor Inc
• Chelia Minon Spencer, PTA
• Gabrielle Spillane
• Matthew Douglas Stanfield I, M.A. LSGC
• Bonnie Faye Stanifer, BS

• Obstetrics & Gynecology Physician in Monroe, MI
• Providers in Monroe, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.