Organization Active NPI

Shores Internal Medicine P.C.

  • Medical Oncology Physician
  • Detroit, MI
National Provider Identifier
1457525248
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
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

Updated by the provider on Nov 21, 2013

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MI
Medical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.