Active NPI
Sunghee Nam, MD
- Anatomic Pathology & Clinical Pathology Physician
- Dearborn, MI
National Provider Identifier
1316915747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 032343
- Practice address
- 18101 Oakwood Blvd
Oakwood Hospital Medical Center
Dearborn, MI 48124 - Phone
- (313) 593-7965
- Fax
- (313) 593-7143
- NPI assigned
- Mar 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 032343 | MI | Primary |
Addresses
Primary practice location
18101 Oakwood Blvd
Oakwood Hospital Medical Center
Dearborn, MI 48124
Mailing address
PO Box 32615
Detroit, MI 48232-0615
Phone (313) 593-7965
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2620014 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032343 | MI | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainwaring Pathology Group PC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Dearborn, MI
- NPI 1326008699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316915747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32615",
"city": "DETROIT",
"state": "MI",
"postal_code": "482320615",
"telephone_number": "313-593-7965",
"fax_number": "313-593-7143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18101 OAKWOOD BLVD",
"address_2": "OAKWOOD HOSPITAL MEDICAL CENTER",
"city": "DEARBORN",
"state": "MI",
"postal_code": "48124",
"telephone_number": "313-593-7965",
"fax_number": "313-593-7143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAM",
"first_name": "SUNGHEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MI",
"license": "032343",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2620014",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.