Michigan Telemed PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MICHIGAN TELEMED PLLC

Practice address

3709 Edenderry Dr.
Troy, MI 48083-5120

Phone

(313) 729-7727

Fax

(313) 789-1738

NPI assigned

Apr 20, 2020

Organization subpart

No

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

Authorized official

Name

Mohammad Zuhair Al-Sharabi, M.D.NPI 1114005576

Title

Owner/President

Phone

(313) 729-7727

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohammad Z Al-Sharabi, M. D.

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1114005576
  NPD Authorized official

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1427678440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 EDENDERRY DR.",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835120",
            "telephone_number": "313-729-7727",
            "fax_number": "313-789-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 EDENDERRY DR.",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835120",
            "telephone_number": "313-729-7727",
            "fax_number": "313-789-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN TELEMED PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-20",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "AL-SHARABI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "ZUHAIR",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "313-729-7727",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114005576",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4050 Walli Strasse Dr",
            "city": "Burton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485091727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Internal Medicine Physician in Troy, MI
• Providers in Troy, 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 Feb 10, 2023; 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.