Mohammad Nadeemullah PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MOHAMMAD NADEEMULLAH PLLC

Practice address

5400 Waldenhill CT
Superior TWP, MI 48198-9654

Phone

(734) 972-3692

Fax

(734) 761-8787

NPI assigned

Aug 21, 2020

Last updated

Oct 20, 2020By 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

Mohammed Nadeemullah, MD

Title

Owner

Phone

(734) 972-3692

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1568074375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 WALDENHILL CT",
            "city": "SUPERIOR TWP",
            "state": "MI",
            "postal_code": "481989654",
            "telephone_number": "734-972-3692",
            "fax_number": "734-761-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 WALDENHILL CT",
            "city": "SUPERIOR TWP",
            "state": "MI",
            "postal_code": "481989654",
            "telephone_number": "734-972-3692",
            "fax_number": "734-761-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD NADEEMULLAH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "NADEEMULLAH",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-972-3692",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaps Health in P.C.
• Jennifer Rogers, CCC-SLP
• Misha Shaikh, DDS

• Internal Medicine Physician in Superior TWP, MI
• Providers in Superior TWP, 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 Oct 20, 2020; 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.