Keyyan Medical PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301048780 Issued in MI

Legal business name

KEYYAN MEDICAL PLLC

Doing business as

Ali Makki, M.D.

Practice address

22239 West Warren Ave
Dearborn Heights, MI 48127

Phone

(313) 908-4255

Fax

(313) 908-4255

NPI assigned

Jun 6, 2013

Last updated

Sep 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ali S Makki, M.D.NPI 1114032414

Title

Owner

Phone

(313) 908-4255

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ali Makki, M.D. Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ali S Makki, M.D.

  • Internal Medicine Physician
  • Dearborn Heights, MI
  • NPI 1114032414
  NPD (past) Authorized official

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1497193957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22239 WEST WARREN AVE",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "48127",
            "telephone_number": "313-908-4255",
            "fax_number": "313-908-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22239 WEST WARREN AVE",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "48127",
            "telephone_number": "313-908-4255",
            "fax_number": "313-908-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYYAN MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "MAKKI",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-908-4255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301048780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114032",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ali Makki, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sally Khalifa, D.O.
• Aliana Khalil
• Ghadir Khalil
• Yomna Mazen Khalil
• Ali M Khan, MD

• Internal Medicine Physician in Dearborn Heights, MI
• Providers in Dearborn Heights, 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 Sep 4, 2014; 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.