Organization Active NPI

United Management Group Inc

  • Internal Medicine Physician
  • Garden City, MI
National Provider Identifier
1265633739
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301063440 Issued in MI
Legal business name
UNITED MANAGEMENT GROUP INC
Practice address
5721 Inkster Rd
Garden City, MI 48135-2960
Phone
(734) 422-0765
Fax
(734) 422-0769
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Authorized official

Name
Mohamed Khadr
Title
Office Manager
Phone
(734) 422-0765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 4301063440 MI Primary

Addresses

Primary practice location

5721 Inkster Rd
Garden City, MI 48135-2960

Mailing address

5721 Inkster Rd
Garden City, MI 48135-2960
Phone (734) 422-0765

Other names 1

  • UNITED REHAB AND MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

5721 Inkster Rd
Garden City, MI 48135
Phone (734) 422-0765

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1265633739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 INKSTER RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352960",
            "telephone_number": "734-422-0765",
            "fax_number": "734-422-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 INKSTER RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352960",
            "telephone_number": "734-422-0765",
            "fax_number": "734-422-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED MANAGEMENT GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "KHADR",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "734-422-0765"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301063440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNITED REHAB AND MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.