Abidi Mehdi Medical, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301078352 Issued in MI

Legal business name

ABIDI MEHDI MEDICAL, PLLC

Practice address

44237 Michigan Avenue
Canton, MI 48188

Phone

(313) 505-8766

Fax

(313) 565-2231

NPI assigned

Jul 10, 2018

Last updated

Jul 10, 2018By 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

Miss Kimberly Ann Beck

Title

Practice Manager

Phone

(313) 769-5914

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Farah Mehdi, M.D.

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1033189477
  Medicare reassignment NPD

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1366938607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44237 MICHIGAN AVENUE",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "48188",
            "telephone_number": "313-505-8766",
            "fax_number": "313-565-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44237 MICHIGAN AVENUE",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "48188",
            "telephone_number": "313-505-8766",
            "fax_number": "313-565-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABIDI MEHDI MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "313-769-5914",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301078352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Abdrabboh
• Kinan M Abdul Baki, D.C.
• Nusaybah Abdul-Lateef
• Tariqah Abdur-Rasheed
• Abidi Mehdi Medical PLLC
• Olubunmi Yemisi Abodunrin
• Oluwole Abodunrin, PHARMD
• Nadeem Elias Abou-Arraj, M.D.
• Abraham Home Visiting Physicians, P.C.
• Jan Edward Abramowicz Jr., PA-C

• Internal Medicine Physician in Canton, MI
• Providers in Canton, 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 Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.