Patient Choice Internal Medicine PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301097600 Issued in MI

Legal business name

PATIENT CHOICE INTERNAL MEDICINE PC

Practice address

6339 Woodhall St
Detroit, MI 48224-1217

Phone

(313) 908-3071

NPI assigned

Aug 29, 2012

Last updated

Aug 29, 2012By 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

Jacklyn Price

Title

Administrator

Phone

(313) 908-3071

Specialties & licenses 1

Addresses

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.

• Shironda Nakia Stewart, MD

  • Rheumatology Physician
  • Farmington Hills, MI
  • NPI 1033386172
  NPD (past)

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1396094926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6339 WOODHALL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6339 WOODHALL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241217",
            "telephone_number": "313-908-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT CHOICE INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "JACKLYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-908-3071"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301097600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vaidahi Patel, MD
• Yash Dharmendra Patel, M.D.
• Vincent Clifford Patero
• Mayur Srinivas Pathan, M.D.
• Pathology Specialists of Southeast Michigan PC
• Patient Medical Equipment, Inc.
• Prabhumallikarjun Patil, M.D
• Vrishali P Patil, MD,MRCS,DNB
• Nakeisha Lanae Patmon
• Murali S Patri, MD

• Family Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.