Phoenix Medical Spa MDPC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301088407 Issued in MI

Legal business name

PHOENIX MEDICAL SPA MDPC

Practice address

7105 Allen Rd
Allen Park, MI 48101-2009

Phone

(313) 381-7130

Fax

(313) 381-0721

NPI assigned

Mar 7, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Hassan A. Saghir, M.D.

Title

Owner, Ceo

Phone

(313) 310-4300

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1508107038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6833 CALHOUN ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261808",
            "telephone_number": "313-584-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 ALLEN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012009",
            "telephone_number": "313-381-7130",
            "fax_number": "313-381-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX MEDICAL SPA MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "SAGHIR",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "313-310-4300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301088407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0951827",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.