NPIMap

Organization Active NPI

Dr. Raafat Issa,MD,LLC

  • Primary Care Clinic/Center
  • Shelby TWP, MI
National Provider Identifier
1578752127
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
RI057892 Issued in MI
Legal business name
DR. RAAFAT ISSA,MD,LLC
Practice address
47100 Schoenherr Rd
Suite E
Shelby TWP, MI 48315-4716
Phone
(586) 566-1782
Fax
(586) 566-1859
NPI assigned
Oct 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. Raafat Issa, M.D.
Title
Owner
Phone
(586) 566-1782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X RI057892 MI Primary

Addresses

Primary practice location

47100 Schoenherr Rd
Suite E
Shelby TWP, MI 48315-4716

Mailing address

47100 Schoenherr Rd
Suite E
Shelby TWP, MI 48315-4716
Phone (586) 566-1782

National Provider Directory

National Provider Directory

Locations

47100 Schoenherr Rd
Ste E
Shelby Township, MI 48315
Phone (586) 566-1782

51221 Schoenherr Rd
Ste 106
Shelby Township, MI 48315
Phone (586) 726-4599

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1578752127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47100 SCHOENHERR RD",
            "address_2": "SUITE E",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483154716",
            "telephone_number": "586-566-1782",
            "fax_number": "586-566-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47100 SCHOENHERR RD",
            "address_2": "SUITE E",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483154716",
            "telephone_number": "586-566-1782",
            "fax_number": "586-566-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RAAFAT ISSA,MD,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "ISSA",
        "authorized_official_first_name": "RAAFAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-566-1782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "RI057892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.