Dev Mahajan, M.D.,P.C.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

DM037664 Issued in MI

Legal business name

DEV MAHAJAN, M.D.,P.C.

Practice address

10501 Telegraph Rd
Suite 102
Taylor, MI 48180-3375

Phone

(313) 292-3500

Fax

(313) 292-3503

NPI assigned

Oct 1, 2007

Last updated

Nov 27, 2007By 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. Dev Mahajan, M.D.P.C.

Title

Owner

Phone

(313) 292-3500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1316134695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 TELEGRAPH RD",
            "address_2": "SUITE 102",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803375",
            "telephone_number": "313-292-3500",
            "fax_number": "313-292-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 TELEGRAPH RD",
            "address_2": "SUITE 102",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803375",
            "telephone_number": "313-292-3500",
            "fax_number": "313-292-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEV MAHAJAN, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "MAHAJAN",
        "authorized_official_first_name": "DEV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-292-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.P.C."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "DM037664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1400007",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pulmonary Disease Physician in Taylor, MI
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.