Active NPI
Shahbaz Jamal, M.D.
- Student in an Organized Health Care Education/Training Program
- Southfield, MI
National Provider Identifier
1649623455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 4301110435
- Practice address
- 22250 Providence Dr Ste 500
Southfield, MI 48075-6213 - Phone
- (248) 849-3441
- NPI assigned
- Jul 16, 2016
- Last updated
- Jul 16, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 4301110435 | MI | Primary |
Addresses
Primary practice location
22250 Providence Dr Ste 500
Southfield, MI 48075-6213
Mailing address
22250 Providence Dr Ste 500
Southfield, MI 48075-6213
Phone (248) 849-3441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301110435 | MI | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468627200000",
"number": "1649623455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22250 PROVIDENCE DR STE 500",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480756213",
"telephone_number": "248-849-3441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22250 PROVIDENCE DR STE 500",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480756213",
"telephone_number": "248-849-3441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMAL",
"first_name": "SHAHBAZ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-16",
"last_updated": "2016-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4301110435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.