Organization Active NPI

Detroit Clinical Research Center, PC

  • Medical Oncology Physician
  • Novi, MI
National Provider Identifier
1396029161
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
02264X Issued in MI
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.