Organization Active NPI

Royal Oak OB GYN PC

  • Obstetrics & Gynecology Physician
  • Sterling Heights, MI
National Provider Identifier
1275520777
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301028599 Issued in MI
Legal business name
ROYAL OAK OB GYN PC
Practice address
43200 Dequindre Rd
Ste 104
Sterling Heights, MI 48314-1707
Phone
(586) 799-4350
Fax
(586) 799-4279
NPI assigned
Sep 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Authorized official

Name
Anis A Milad, MD
Title
President
Phone
58679943500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 4301028599 MI Primary

Addresses

Primary practice location

43200 Dequindre Rd
Ste 104
Sterling Heights, MI 48314-1707

Mailing address

43200 Dequindre Rd
Ste 104
Sterling Heights, MI 48314-1707
Phone (586) 799-4350

Other identifiers 2

IdentifierTypeStateIssuer
B44649OtherHAP
1606319301OtherBLUE CROSS

Other names 1

  • Anis A Milad MD Other name

National Provider Directory

National Provider Directory

Locations

43200 Dequindre Rd
Ste 104
Sterling Hts, MI 48314
Phone (586) 799-4350

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1275520777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43200 DEQUINDRE RD",
            "address_2": "STE 104",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141707",
            "telephone_number": "586-799-4350",
            "fax_number": "586-799-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43200 DEQUINDRE RD",
            "address_2": "STE 104",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141707",
            "telephone_number": "586-799-4350",
            "fax_number": "586-799-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL OAK OB GYN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "MILAD",
        "authorized_official_first_name": "ANIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "58679943500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301028599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "B44649",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1606319301",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anis A Milad MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.