Progressive Primary Care PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301075870 Issued in MI

Legal business name

PROGRESSIVE PRIMARY CARE PC

Practice address

24559 Perceval LN
Novi, MI 48375-2355

Phone

(248) 259-1214

NPI assigned

Sep 30, 2010

Organization subpart

No

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

Authorized official

Name

Dhananjay Kumar, M.D.

Title

Owner

Phone

(248) 259-1214

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1437468063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 707",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483760707",
            "telephone_number": "248-259-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24559 PERCEVAL LN",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752355",
            "telephone_number": "248-259-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE PRIMARY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "DHANANJAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-259-1214",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301075870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Novi, MI
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.