Bushraah Medical Services SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036-019136 Issued in IL

Legal business name

BUSHRAAH MEDICAL SERVICES SC

Practice address

6703 159TH St
Tinley Park, IL 60477-1781

Phone

(708) 915-7130

Fax

(708) 915-7173

NPI assigned

Jul 17, 2009

Organization subpart

No

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

Authorized official

Name

Mohammad Shamshuddin, MD

Title

President

Phone

(708) 915-7130

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1295965861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6703 159TH ST",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771781",
            "telephone_number": "708-915-7130",
            "fax_number": "708-915-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6703 159TH ST",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771781",
            "telephone_number": "708-915-7130",
            "fax_number": "708-915-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUSHRAAH MEDICAL SERVICES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-17",
        "last_updated": "2009-07-17",
        "status": "A",
        "authorized_official_last_name": "SHAMSHUDDIN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-915-7130",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-019136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karmiah Latrice Burkes
• Maria Burkhead
• Tiffany P Burnham
• Jordan Burns, BCBA
• Rahman Burton
• Tehya Bynum, RBT
• C & C Pediatrics
• Adrianna Cadena, MSW, LSW
• Cadence Shaw Industries
• Margaret Lynn Caldwell, DO

• Internal Medicine Physician in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.