Organization Active NPI

Dr Padma Aysola MD PC

  • Family Medicine Physician
  • Livonia, MI
National Provider Identifier
1346378353
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PA038608 Issued in MI
Legal business name
DR PADMA AYSOLA MD PC
Practice address
19930 Farmington Rd
Suite C
Livonia, MI 48152-1433
Phone
(248) 474-9866
Fax
(248) 474-9867
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Padma Aysola, MD
Title
Physician
Phone
(248) 474-9866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X PA038608 MI Primary

Addresses

Primary practice location

19930 Farmington Rd
Suite C
Livonia, MI 48152-1433

Mailing address

30129 Deer Run
Farmington Hills, MI 48331-6010
Phone (248) 474-9866

National Provider Directory

National Provider Directory

Locations

19994 Farmington Rd
#D
Livonia, MI 48152
Phone (248) 474-9866

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1346378353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30129 DEER RUN",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483316010",
            "telephone_number": "248-474-9866",
            "fax_number": "248-474-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19930 FARMINGTON RD",
            "address_2": "SUITE C",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521433",
            "telephone_number": "248-474-9866",
            "fax_number": "248-474-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PADMA AYSOLA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "AYSOLA",
        "authorized_official_first_name": "PADMA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-474-9866",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "PA038608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.