Merit Health Care Clinic, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301084693 Issued in MI

Legal business name

MERIT HEALTH CARE CLINIC, PLLC

Practice address

3390 N State Rd Ste a
Davison, MI 48423-1154

Phone

(810) 652-6333

Fax

(810) 652-6335

NPI assigned

Jun 22, 2015

Organization subpart

No

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

Authorized official

Name

Osman M-E Mukhtar, MD

Title

Owner Physician

Phone

(810) 652-6333

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517529600000",
    "number": "1326420811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 N STATE RD STE A",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231154",
            "telephone_number": "810-652-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 N STATE RD STE A",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231154",
            "telephone_number": "810-652-6333",
            "fax_number": "810-652-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIT HEALTH CARE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2018-02-02",
        "status": "A",
        "authorized_official_last_name": "MUKHTAR",
        "authorized_official_first_name": "OSMAN",
        "authorized_official_middle_name": "M-E",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "810-652-6333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301084693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08788367",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Davison, MI
• Providers in Davison, 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 2, 2018; 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.