Millennium Medical Group South PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MILLENNIUM MEDICAL GROUP SOUTH PC

Practice address

9340 Telegraph Rd
Taylor, MI 48180-3362

Phone

(313) 295-3388

Fax

(313) 295-4198

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Abraham Slaim, D.O.NPI 1295705531

Title

President

Phone

(313) 538-3099

Specialties & licenses 9

Addresses

Other identifiers 3

Locations

Practitioners 55

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

• Abraham Slaim, D.O.

  • Family Medicine Physician
  • Taylor, MI
  • NPI 1295705531
  NPD (past) Authorized official
• Saleh Al-Ameen, M.D

  • Family Medicine Physician
  • Dearborn, MI
  • NPI 1265829873
  NPD (past)
• Terry Ames, NP

  • Primary Care Nurse Practitioner
  • Dearborn, MI
  • NPI 1497733398
  NPD (past)
• Amy D Andrews, ACAGNP

  • Acute Care Nurse Practitioner
  • Livonia, MI
  • NPI 1861891301
  NPD (past)
• Anthony Arlo Bennett, MD

  • Diagnostic Radiology Physician
  • Sylvan Lake, MI
  • NPI 1801866397
  NPD (past)
• Sameer Surendra Bhagwan, M.D.

  • Internal Medicine Physician
  • Wyandotte, MI
  • NPI 1942680673
  NPD (past)
• Priti Bhardwaj, MD

  • Internal Medicine Physician
  • Taylor, MI
  • NPI 1205879434
  NPD (past)
• Mary Ellen Bieniasz, NP

  • Nurse Practitioner
  • Ypsilanti, MI
  • NPI 1598771362
  NPD (past)
• Samir Dabbous, M.D.

  • Cardiovascular Disease Physician
  • Dearborn, MI
  • NPI 1538195664

  Internal Medicine

  NPD (past)
• Dipak K Das, M.D.

  • Internal Medicine Physician
  • Wyandotte, MI
  • NPI 1699755181
  NPD (past)
• Mazen El-Koudsi, NP

  • Primary Care Nurse Practitioner
  • Dearborn, MI
  • NPI 1245821131
  NPD (past)
• Saeedeh Elahi

  • Family Nurse Practitioner
  • Dearborn, MI
  • NPI 1457705139
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1265468623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25241 GRAND RIVER AVE",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482401404",
            "telephone_number": "313-538-3099",
            "fax_number": "313-538-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9340 TELEGRAPH RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803362",
            "telephone_number": "313-295-3388",
            "fax_number": "313-295-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM MEDICAL GROUP SOUTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "SLAIM",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-538-3099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "500H255490",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "DD9487",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP",
            "identifier": "700H222490",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michigan Medical Group PC
• Michigan Neuroscience Clinic PLLC
• Midwest Health Center-Brookside
• Millenium Home Health Agency LLC
• Millennium Medical Group South PC
• Millennium Medical Group South PC
• Amber Lynn Miller
• Callys V Miller, MSW
• Emainey Mills
• Nicole Marie Milz, LMSW

• Internal Medicine Physician in Taylor, MI
• Providers in Taylor, 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 19, 2008; 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.