Intensive Care Associates

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

INTENSIVE CARE ASSOCIATES

Practice address

3000 Orchard Lake Rd
Farmington Hills, MI 48334

Phone

(248) 516-9850

NPI assigned

Dec 9, 2021

Organization subpart

No

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

Authorized official

Name

MHD Hussam Al Jandali, MD

Title

Owner

Phone

(248) 516-9850

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1568121333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6349 ALDINGBROOKE CIRCLE RD N STE 1",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221308",
            "telephone_number": "248-318-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ORCHARD LAKE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "48334",
            "telephone_number": "248-516-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENSIVE CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "AL JANDALI",
        "authorized_official_first_name": "MHD",
        "authorized_official_middle_name": "HUSSAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-516-9850",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Nephrology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.