Organization Active NPI

Khullar MD & Associates PLLC

  • Cardiovascular Disease Physician
  • Sterling HTS, MI
National Provider Identifier
1659497428
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301040148 Issued in MI
Legal business name
KHULLAR MD & ASSOCIATES PLLC
Practice address
38800 Ryan Rd
Ste 102
Sterling HTS, MI 48310-2993
Phone
(586) 274-0123
Fax
(586) 274-1125
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Authorized official

Name
Subhash Khullar, MD
Title
Owner
Phone
(586) 274-0123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 4301040148 MI Primary

Addresses

Primary practice location

38800 Ryan Rd
Ste 102
Sterling HTS, MI 48310-2993

Mailing address

38800 Ryan Rd
Ste 102
Sterling HTS, MI 48310-2993
Phone (586) 274-0123

Other identifiers 1

IdentifierTypeStateIssuer
0E016900OtherMIBCBSM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1659497428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38800 RYAN RD",
            "address_2": "STE 102",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483102993",
            "telephone_number": "586-274-0123",
            "fax_number": "586-274-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38800 RYAN RD",
            "address_2": "STE 102",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483102993",
            "telephone_number": "586-274-0123",
            "fax_number": "586-274-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHULLAR MD & ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "KHULLAR",
        "authorized_official_first_name": "SUBHASH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-274-0123",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301040148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0E016900",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling HTS, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.