Michigan Internal Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301067151 Issued in MI

Legal business name

MICHIGAN INTERNAL MEDICINE PC

Practice address

3400 Fleckenstein Rd
Suite 2
Flint, MI 48507-3043

Phone

(810) 230-9323

Fax

(810) 230-9328

NPI assigned

Jul 24, 2006

Last updated

Oct 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kazem Hak, M.D.NPI 1083688725

Title

Owner/President

Phone

(810) 230-9323

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kazem Hak, M.D.

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1083688725
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1295757854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 FLECKENSTEIN RD",
            "address_2": "SUITE 2",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073043",
            "telephone_number": "810-230-9323",
            "fax_number": "810-230-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 FLECKENSTEIN RD",
            "address_2": "SUITE 2",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073043",
            "telephone_number": "810-230-9323",
            "fax_number": "810-230-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "HAK",
        "authorized_official_first_name": "KAZEM",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "810-230-9323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301067151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4371320",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michigan Healthcare Pain Management PLLC
• Michigan Home Assist
• Michigan Home Caregivers LLC
• Michigan Institute for Minimally Invasive & Vascular Therapies PC
• Michigan Institute of Hospice and Palliative Care
• Michigan Interventional Radiology Associates, PC (Macomb Pain Clinic)
• Michigan Medical Anesthesia, .P,C,
• Michigan Neurological Center PC
• Michigan Neurology PC
• Michigan Orthopedic Services LLC

• Internal Medicine Physician in Flint, MI
• Providers in Flint, 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 Oct 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.