Ibn Sina Healthcare

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

50398 Issued in WI

Legal business name

IBN SINA HEALTHCARE

Practice address

37868 US Highway 18
Prairie Du Chien, WI 53821-8416

Phone

(702) 453-3799

Fax

(702) 453-5741

NPI assigned

Sep 29, 2016

Organization subpart

No

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

Authorized official

Name

Muhammad Ali Pervaiz, M.D.NPI 1417174186

Title

Sole Owner

Phone

(914) 316-4218

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Muhammad Ali Pervaiz, MD

  • Psychiatry Physician
  • Roswell, GA
  • NPI 1417174186
  NPD (past) Authorized official

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1508315680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 LAVISTA RD STE E-348",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845162",
            "telephone_number": "702-453-3799",
            "fax_number": "702-453-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37868 US HIGHWAY 18",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538218416",
            "telephone_number": "702-453-3799",
            "fax_number": "702-453-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBN SINA HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "PERVAIZ",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "914-316-4218",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "50398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Anne Higgins, O.D.
• Matthew Calvin Hill, PHARMD
• Felicia Diane Holmes
• Kyla M Horsfield
• Kelsey M Huber, RPH
• Interstate EMS of Prairie Du Chien, Inc.
• Iowa Hearing Associates LLC
• Dixie L Jackson, LPC
• Alexa Marie Jacobsen, FNP
• Paul F Johnston, PTA

• All providers in Prairie Du Chien, WI
• Internal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.