Organization Active NPI

Syed Sattar MD PC

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1487833158
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301050931 Issued in MI
Legal business name
SYED SATTAR MD PC
Practice address
G1071 N Ballenger Hwy
Suite 206
Flint, MI 48504-4453
Phone
(810) 234-1651
Fax
(810) 234-5959
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Mr. Bradley Eshbaugh
Title
Secretary
Phone
(810) 239-6731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301050931 MI Primary

Addresses

Primary practice location

G1071 N Ballenger Hwy
Suite 206
Flint, MI 48504-4453

Mailing address

G1071 N Ballenger Hwy
Suite 206
Flint, MI 48504-4453
Phone (810) 234-1651

Other identifiers 1

IdentifierTypeStateIssuer
4168673MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1487833158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G1071 N BALLENGER HWY",
            "address_2": "SUITE 206",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485044453",
            "telephone_number": "810-234-1651",
            "fax_number": "810-234-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G1071 N BALLENGER HWY",
            "address_2": "SUITE 206",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485044453",
            "telephone_number": "810-234-1651",
            "fax_number": "810-234-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYED SATTAR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "ESHBAUGH",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "810-239-6731",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301050931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4168673",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.