Organization Active NPI

Pulmonary and Internal Medicine Specialists, P.C.

  • Internal Medicine Physician
  • Southfield, MI
National Provider Identifier
1396756185
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PULMONARY AND INTERNAL MEDICINE SPECIALISTS, P.C.
Practice address
26699 W 12 Mile Rd
Suite 201
Southfield, MI 48034-1578
Phone
(248) 358-0011
Fax
(248) 358-1491
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Authorized official

Name
Dr. Kanwar Virender Mendiratta, M.D.
Title
President
Phone
(248) 358-0011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

26699 W 12 Mile Rd
Suite 201
Southfield, MI 48034-1578

Mailing address

26699 W 12 Mile Rd
Suite 201
Southfield, MI 48034-1578
Phone (248) 358-0011

Other identifiers 1

IdentifierTypeStateIssuer
700F37442OtherBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1396756185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26699 W 12 MILE RD",
            "address_2": "SUITE 201",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341578",
            "telephone_number": "248-358-0011",
            "fax_number": "248-358-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26699 W 12 MILE RD",
            "address_2": "SUITE 201",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341578",
            "telephone_number": "248-358-0011",
            "fax_number": "248-358-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY AND INTERNAL MEDICINE SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "MENDIRATTA",
        "authorized_official_first_name": "KANWAR",
        "authorized_official_middle_name": "VIRENDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-358-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "700F37442",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.