Dearborn Primary Care, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301060584 Issued in MI

Legal business name

DEARBORN PRIMARY CARE, P.C.

Practice address

22260 Garrison St
Dearborn, MI 48124-2208

Phone

(313) 562-9128

Fax

(313) 562-1020

NPI assigned

Feb 19, 2014

Organization subpart

No

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

Authorized official

Name

Ranajit Mukherjee, M.D.

Title

Pwner

Phone

(313) 562-9128

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1316362999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22260 GARRISON ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242208",
            "telephone_number": "313-562-9128",
            "fax_number": "313-562-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22260 GARRISON ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242208",
            "telephone_number": "313-562-9128",
            "fax_number": "313-562-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEARBORN PRIMARY CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "MUKHERJEE",
        "authorized_official_first_name": "RANAJIT",
        "authorized_official_title_or_position": "PWNER",
        "authorized_official_telephone_number": "313-562-9128",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301060584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "4301060584",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dearborn Physical Therapy LTD.
• Dearborn Podiatric Surgeons, P.C.
• Dearborn Psychological Services
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• Dearborn Sleep Lab LLC
• Dearborn Specialty Pharmacy Inc

• Internal Medicine Physician in Dearborn, MI
• Providers in Dearborn, 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 Feb 19, 2014; 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.