Active NPI
Sultana Rokeya Ghuznavi, M.D.
- Pediatrics Physician
- Taylor, MI
National Provider Identifier
1588606131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301040612
- Practice address
- 25412 Goddard Rd
Taylor, MI 48180-6200 - Phone
- (313) 292-4110
- Fax
- (313) 292-9512
- NPI assigned
- Jun 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301040612 | MI | Primary |
Addresses
Primary practice location
25412 Goddard Rd
Taylor, MI 48180-6200
Mailing address
25412 Goddard Rd
Taylor, MI 48180-6200
Phone (313) 292-4110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1432673 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160211000430 | MI | Order and Referring Only - Pediatric Medicine | 5991009938 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301040612 | MI | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1588606131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25412 GODDARD RD",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481806200",
"telephone_number": "313-292-4110",
"fax_number": "313-292-9512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25412 GODDARD RD",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481806200",
"telephone_number": "313-292-4110",
"fax_number": "313-292-9512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHUZNAVI",
"first_name": "SULTANA",
"middle_name": "ROKEYA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301040612",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1432673",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Taylor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.