Organization Active NPI

Babar Sanaullah M.D. PLC

  • Internal Medicine Physician
  • Grand Rapids, MI
National Provider Identifier
1306892674
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BABAR SANAULLAH M.D. PLC
Practice address
2815 Michigan St NE
Ste B
Grand Rapids, MI 49506-1266
Phone
(616) 977-8000
Fax
(616) 977-8002
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Babar Sanaullah, MD
Title
Owner
Phone
(616) 977-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2815 Michigan St NE
Ste B
Grand Rapids, MI 49506-1266

Mailing address

2815 Michigan St NE
Ste B
Grand Rapids, MI 49506-1266
Phone (616) 977-8000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306892674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 MICHIGAN ST NE",
            "address_2": "STE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061266",
            "telephone_number": "616-977-8000",
            "fax_number": "616-977-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 MICHIGAN ST NE",
            "address_2": "STE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061266",
            "telephone_number": "616-977-8000",
            "fax_number": "616-977-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABAR SANAULLAH M.D. PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANAULLAH",
        "authorized_official_first_name": "BABAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-977-8000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.