QMJ Medical Center PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

QMJ MEDICAL CENTER PC

Practice address

26237 Southfield Rd
Lathrup Village, MI 48076-4546

Phone

(248) 945-1962

Fax

(248) 945-1963

NPI assigned

Dec 26, 2024

Last updated

Dec 26, 2024By 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

Mrs. Priti Padamanabha Shetty

Title

Biller

Phone

(248) 787-1137

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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.

• Quadir Jaleel, M.D.

  • Internal Medicine Physician
  • Hamtramck, MI
  • NPI 1225016256
  Medicare reassignment NPD

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

{
    "created_epoch": "1735171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1417765173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49902 TAHOE WAY",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874483",
            "telephone_number": "248-787-1137",
            "fax_number": "248-962-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26237 SOUTHFIELD RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480764546",
            "telephone_number": "248-945-1962",
            "fax_number": "248-945-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QMJ MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-26",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "SHETTY",
        "authorized_official_first_name": "PRITI",
        "authorized_official_middle_name": "PADAMANABHA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "248-787-1137",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Purvi S Patel, MD PC
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• Jordan Rabban
• Rainbow Home Health Care
• Khalid Rao, M.D.

• Internal Medicine Physician in Lathrup Village, MI
• Providers in Lathrup Village, 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 26, 2024; 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.