M Djamali MD PC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

4301039115 Issued in MI

Legal business name

M DJAMALI MD PC

Practice address

780 N Lapeer Rd
Lake Orion, MI 48362-1529

Phone

(313) 258-8449

Fax

(734) 451-0603

NPI assigned

Aug 14, 2012

Organization subpart

No

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

Authorized official

Name

Mohsen Djamali, MD

Title

Owner

Phone

(313) 258-8449

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1649527243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81936",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483081936",
            "telephone_number": "313-258-8449",
            "fax_number": "734-451-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 N LAPEER RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483621529",
            "telephone_number": "313-258-8449",
            "fax_number": "734-451-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M DJAMALI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "DJAMALI",
        "authorized_official_first_name": "MOHSEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-258-8449",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MI",
            "license": "4301039115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Lake Orion, MI
• Providers in Lake Orion, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.