Active NPI
Shores Internal Medicine P.C.
- Medical Oncology Physician
- Detroit, MI
National Provider Identifier
1457525248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- Legal business name
- SHORES INTERNAL MEDICINE P.C.
- Practice address
- 4777 E Outer Dr
Detroit, MI 48234-3241 - Phone
- (313) 576-8778
- NPI assigned
- Apr 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Malaz Alatassi, M.D.
- Title
- Owner
- Phone
- (586) 778-4950
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MI | ||
| Medical Oncology Physician | 207RX0202X | MI | Primary |
Addresses
Primary practice location
4777 E Outer Dr
Detroit, MI 48234-3241
Mailing address
43750 Garfield Rd
Suite 207
Clinton Township, MI 48038-1135
National Provider Directory
National Provider DirectoryLocations
43750 Garfield Rd
#207
Clinton Township, MI 48038
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1384992000000",
"number": "1457525248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43750 GARFIELD RD",
"address_2": "SUITE 207",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480381135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4777 E OUTER DR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482343241",
"telephone_number": "313-576-8778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHORES INTERNAL MEDICINE P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-14",
"last_updated": "2013-11-21",
"status": "A",
"authorized_official_last_name": "ALATASSI",
"authorized_official_first_name": "MALAZ",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "586-778-4950",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Medical Oncology",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Nov 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.