Hartland Geriatric PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HARTLAND GERIATRIC PC

Practice address

2040 Monroe St
Ste 207
Dearborn, MI 48124-2950

Phone

(313) 278-5836

NPI assigned

Dec 1, 2016

Last updated

Dec 1, 2016By 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

Dr. Fathelrahmna Ali, M.D.

Title

Owner

Phone

(313) 278-5836

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1396288825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 MONROE ST",
            "address_2": "STE 207",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242950",
            "telephone_number": "313-278-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 MONROE ST",
            "address_2": "STE 207",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242950",
            "telephone_number": "313-278-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTLAND GERIATRIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-01",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "FATHELRAHMNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-278-5836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Anna Harris, NP
• Brianna Nicole Harrs
• Linda Hart, DDS
• Mackenzie Hart
• Charlotte Marie Hartig
• Alexandra Nicole Hartley
• Wanda F Hartsfield, CRNA
• Allison Hartwick, CGC
• Harvest Therapy Center
• Ebony Janet Harvey

• Internal Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.