Active NPI
Detroit Clinical Research Center, PC
- Medical Oncology Physician
- Novi, MI
National Provider Identifier
1396029161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 02264X
- Legal business name
- DETROIT CLINICAL RESEARCH CENTER, PC
- Practice address
- 27780 Novi Rd
Suite 101
Novi, MI 48377-3401 - Phone
- (248) 773-8979
- Fax
- (248) 468-1155
- NPI assigned
- Sep 28, 2011
- Last updated
- Sep 28, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Max Rashed, MS, MBA
- Title
- Owner
- Phone
- (248) 773-8979
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 02264X | MI | Primary |
Addresses
Primary practice location
27780 Novi Rd
Suite 101
Novi, MI 48377-3401
Mailing address
27780 Novi Rd
Suite 101
Novi, MI 48377-3401
Phone (248) 773-8979
National Provider Directory
National Provider DirectoryLocations
27780 Novi Rd
Ste 101
Novi, MI 48377
Phone (248) 773-8979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317168000000",
"number": "1396029161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27780 NOVI RD",
"address_2": "SUITE 101",
"city": "NOVI",
"state": "MI",
"postal_code": "483773401",
"telephone_number": "248-773-8979",
"fax_number": "248-468-1155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27780 NOVI RD",
"address_2": "SUITE 101",
"city": "NOVI",
"state": "MI",
"postal_code": "483773401",
"telephone_number": "248-773-8979",
"fax_number": "248-468-1155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DETROIT CLINICAL RESEARCH CENTER, PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-28",
"last_updated": "2011-09-28",
"status": "A",
"authorized_official_last_name": "RASHED",
"authorized_official_first_name": "MAX",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-773-8979",
"authorized_official_credential": "MS, MBA"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "MI",
"license": "02264X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.