Organization Active NPI

Rizwan M Mufti, MD., PC.

  • Psychiatry Physician
  • Lathrup Village, MI
National Provider Identifier
1568702116
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
RIZWAN M MUFTI, MD., PC.
Practice address
26631 Southfield Rd
Lathrup Village, MI 48076-4530
Phone
(248) 552-8195
Fax
(248) 552-8537
NPI assigned
Feb 19, 2013
Last updated
Mar 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Authorized official

Name
Rizwan Mehmood Mufti, M.D.NPI 1790739365
Title
President
Phone
(248) 986-7500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

26631 Southfield Rd
Lathrup Village, MI 48076-4530

Mailing address

35379 Northmont Dr
Farmington Hills, MI 48331-2648
Phone (248) 986-7500

Other identifiers 1

IdentifierTypeStateIssuer
1568702116MedicaidMI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1568702116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35379 NORTHMONT DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483312648",
            "telephone_number": "248-986-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26631 SOUTHFIELD RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480764530",
            "telephone_number": "248-552-8195",
            "fax_number": "248-552-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIZWAN M MUFTI, MD., PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-19",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "MUFTI",
        "authorized_official_first_name": "RIZWAN",
        "authorized_official_middle_name": "MEHMOOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-986-7500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568702116",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lathrup Village, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.