Organization Active NPI

Maher Ghanem MD PLLC

  • Surgery Physician
  • Troy, MI
National Provider Identifier
1417873902
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MAHER GHANEM MD PLLC
Practice address
1639 E Big Beaver Rd Ste 104
Troy, MI 48083-2053
Phone
(810) 733-8300
NPI assigned
Jun 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Authorized official

Name
Maher Ghanem, MD
Title
Provider
Phone
(313) 618-2948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1639 E Big Beaver Rd Ste 104
Troy, MI 48083-2053

Mailing address

1020 Charter Dr Ste B
Flint, MI 48532-3584
Phone (810) 733-8313

National Provider Directory

National Provider Directory

Locations

1020 Charter Dr
Ste B
Flint, MI 48532
Phone (810) 733-8300

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1417873902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 CHARTER DR STE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323584",
            "telephone_number": "810-733-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 E BIG BEAVER RD STE 104",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832053",
            "telephone_number": "810-733-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHER GHANEM MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-28",
        "status": "A",
        "authorized_official_last_name": "GHANEM",
        "authorized_official_first_name": "MAHER",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "313-618-2948",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.