Asif Ishaque MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301062301 Issued in MI

Legal business name

ASIF ISHAQUE MD PC

Practice address

9244 Lapeer Rd
Davison, MI 48423-1757

Phone

(810) 653-2111

Fax

(810) 653-8506

NPI assigned

Mar 16, 2007

Last updated

Dec 30, 2009By 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. Asif Ishaque, MDNPI 1447220371

Title

Owner

Phone

(810) 653-2111

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

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.

• Asif Ishaque, MD

  • Internal Medicine Physician
  • Davison, MI
  • NPI 1447220371
  Medicare reassignment NPD Authorized official
• Deborah Lynn Dimond, ANP-BC

  • Adult Health Nurse Practitioner
  • Davison, MI
  • NPI 1073745923
  Medicare reassignment NPD
• Shawn L. Badal, CNP

  • Gerontology Nurse Practitioner
  • Flint, MI
  • NPI 1831287663
  NPD (past)
• Farhan Khan, MD

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1023081742
  NPD (past)
• Hayley M Leichtman, FNP-BC

  • Family Nurse Practitioner
  • Bloomfield Hills, MI
  • NPI 1184153223
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1396879730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9244 LAPEER RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231757",
            "telephone_number": "810-653-2111",
            "fax_number": "810-653-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9244 LAPEER RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231757",
            "telephone_number": "810-653-2111",
            "fax_number": "810-653-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASIF ISHAQUE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "ISHAQUE",
        "authorized_official_first_name": "ASIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-653-2111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301062301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DE4884",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Davison, MI
• Providers in Davison, 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 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.