Mayura Madani M.D.P.L.L.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MAYURA MADANI M.D.P.L.L.C.

Practice address

4727 St Antoine
Ste 402
Detroit, MI 48201

Phone

(313) 833-4629

Fax

(313) 833-4648

NPI assigned

Apr 8, 2013

Organization subpart

Yes

Parent organization

MAYURA MADANI M.D.P.L.L.C.As reported in NPPES

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

Authorized official

Name

Mayura Madani, M.D.

Title

President

Phone

(313) 833-4629

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Mayura Madani Mdpllc

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6742/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1639512817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 ST ANTOINE",
            "address_2": "STE 402",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-833-4629",
            "fax_number": "313-833-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 ST ANTOINE",
            "address_2": "STE 402",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-833-4629",
            "fax_number": "313-833-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYURA MADANI M.D.P.L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAYURA MADANI M.D.P.L.L.C.",
        "enumeration_date": "2013-04-08",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "MADANI",
        "authorized_official_first_name": "MAYURA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-833-4629",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104788033",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Nicole Mays, NP-C
• Kelley Mays, DMIN
• Krystal Mays
• Rochelle Denece Mays, LMT
• Tarnisha Mays
• Maria Mazariegos-Gonzalez
• Sarah Elizabeth Mazdra
• Maryam Mazhar, M.D.
• Mir Ali Mazhar, DO
• Shanawaz Pasha Mazloom Abdul, RN

• Pediatrics Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.