Organization Active NPI

Murtaza Hussain MD PC

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1417985441
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MURTAZA HUSSAIN MD PC
Practice address
18254 Livernois Ave
Detroit, MI 48221
Phone
(313) 861-4400
Fax
(313) 861-5810
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Authorized official

Name
Dr. Murtaza Hussain, MD
Title
President
Phone
(313) 861-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

18254 Livernois Ave
Detroit, MI 48221

Mailing address

18254 Livernois Ave
Detroit, MI 48221
Phone (313) 861-4400

Other identifiers 1

IdentifierTypeStateIssuer
3138969-10MedicaidMI

Other names 1

  • Livernois Family Medical Service Doing business as

National Provider Directory

National Provider Directory

Locations

18254 Livernois Ave
Detroit, MI 48221
Phone (313) 861-4400

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1417985441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18254 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48221",
            "telephone_number": "313-861-4400",
            "fax_number": "313-861-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18254 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48221",
            "telephone_number": "313-861-4400",
            "fax_number": "313-861-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURTAZA HUSSAIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "MURTAZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-861-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3138969-10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Livernois Family Medical Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.