Organization Active NPI

Farnaz S Abhari MD PC

  • Internal Medicine Physician
  • Orchard Lake, MI
National Provider Identifier
1629182886
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
65718 Issued in MI
Legal business name
FARNAZ S ABHARI MD PC
Practice address
4085 Pontiac TRL
Orchard Lake, MI 48323-1658
Phone
(248) 977-4628
Fax
(248) 977-4629
NPI assigned
Aug 17, 2006
Last updated
May 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Authorized official

Name
Farnaz S Abhari, MDNPI 1508993882
Title
Owner
Phone
(248) 851-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 65718 MI Primary

Addresses

Primary practice location

4085 Pontiac TRL
Orchard Lake, MI 48323-1658

Mailing address

PO Box 252743
West Bloomfield, MI 48325-2743
Phone (248) 231-8369

Other identifiers 1

IdentifierTypeStateIssuer
4358551MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090130000191 MI Part B Supplier - Clinic/Group Practice 8527122951 Receives reassigned benefits from 1 practitioner
Practice locations: Farmington Hills, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1629182886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 252743",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483252743",
            "telephone_number": "248-231-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4085 PONTIAC TRL",
            "city": "ORCHARD LAKE",
            "state": "MI",
            "postal_code": "483231658",
            "telephone_number": "248-977-4628",
            "fax_number": "248-977-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARNAZ S ABHARI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "ABHARI",
        "authorized_official_first_name": "FARNAZ",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-851-0500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "65718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4358551",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.

Verify at the official NPI Registry.