Active NPI
Asghar Mohiuddin MD PC
- Internal Medicine Physician
- Canton, MI
National Provider Identifier
1679335996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ASGHAR MOHIUDDIN MD PC
- Practice address
- 1686 Stonebridge Way
Canton, MI 48188-3273 - Phone
- (734) 495-3576
- Fax
- (734) 254-7454
- NPI assigned
- Jan 24, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachelle Williams
- Title
- Manager
- Phone
- (734) 245-7822
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1686 Stonebridge Way
Canton, MI 48188-3273
Mailing address
17177 N Laurel Park Dr Ste 439
Livonia, MI 48152-3938
Phone (734) 462-0340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1063404770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712620800000",
"number": "1679335996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17177 N LAUREL PARK DR STE 439",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481523938",
"telephone_number": "734-462-0340",
"fax_number": "734-462-0344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1686 STONEBRIDGE WAY",
"city": "CANTON",
"state": "MI",
"postal_code": "481883273",
"telephone_number": "734-495-3576",
"fax_number": "734-254-7454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASGHAR MOHIUDDIN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-24",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "RACHELLE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "734-245-7822"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.