Bukhari Psychiatric Services

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BUKHARI PSYCHIATRIC SERVICES

Doing business as

Syed Muhammad Ali Imran Bukhari

Practice address

425 Old Newman Rd Ste 402
Frisco, TX 75036-8184

Phone

(817) 900-2766

Fax

(817) 898-7402

NPI assigned

Oct 15, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Syed Muhammad Ali Imran Bukhari, MDNPI 1013265677

Title

Medical Doctor/Owner

Phone

(347) 545-9902

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SYED MUHAMMAD ALI IMRAN BUKHARI Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Syed Muhammad Ali Imran Bukhari, MD

  • Psychiatry Physician
  • Fort Worth, TX
  • NPI 1013265677
  Medicare reassignment NPD Authorized official
• Zaquia Shenaethia Mackey, PA

  • Physician Assistant
  • Fort Worth, TX
  • NPI 1699329128
  Medicare reassignment

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1396211611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 REGENT BLVD STE 130 #383",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633132",
            "telephone_number": "903-331-0506",
            "fax_number": "903-331-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 OLD NEWMAN RD STE 402",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750368184",
            "telephone_number": "817-900-2766",
            "fax_number": "817-898-7402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 Overton Ridge Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761323614",
            "country_code": "US",
            "telephone_number": "817-361-1991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BUKHARI PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "BUKHARI",
        "authorized_official_first_name": "SYED MUHAMMAD",
        "authorized_official_middle_name": "ALI IMRAN",
        "authorized_official_title_or_position": "MEDICAL DOCTOR/OWNER",
        "authorized_official_telephone_number": "347-545-9902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "394698001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SYED MUHAMMAD ALI IMRAN BUKHARI",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SYED MUHAMMAD ALI IMRAN BUKHARI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatry Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.