Tarambakufa David Mukurazhizha, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901019955 Issued in MI

Practice address

29702 Southfield Rd
Suite H
Southfield, MI 48076-2096

Phone

(315) 440-4525

Fax

(248) 559-6386

NPI assigned

May 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Syracuse Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Syracuse, NY
  • NPI 1497796353
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267142400000",
    "number": "1386691244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2871 TROY CENTER DR",
            "address_2": "APT P-3",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844727",
            "telephone_number": "315-440-4525",
            "fax_number": "313-494-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29702 SOUTHFIELD RD",
            "address_2": "SUITE H",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762096",
            "telephone_number": "315-440-4525",
            "fax_number": "248-559-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKURAZHIZHA",
        "first_name": "TARAMBAKUFA",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2010-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "052732",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Muhqueed
• Caroline Muia, M.D.
• Gabriella Miguel Mukhtar
• Michelle Elizabeth Mukhtar
• Viswanatha R Mukkamalla, PHYSICAL THERAPIST
• Dominique Muldrow
• Dayna Michelle Mullaly, L.M.S.W.
• Rachel Muller, M.A., CCC-SLP
• Janet C Mullings-Britton, M.D.
• Joyce Evelyn Mullins

• Dentist in Southfield, MI
• Providers in Southfield, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.