Organization Active NPI

Mosharraf U. Ahmed M.D. PC

  • Internal Medicine Physician
  • Waterford, MI
National Provider Identifier
1689770463
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MOSHARRAF U. AHMED M.D. PC
Practice address
5784 Highland Rd
Suite a
Waterford, MI 48327-1876
Phone
(248) 673-7202
Fax
(248) 673-7299
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mosharraf Uddin Ahmed
Title
Owner
Phone
(248) 673-7202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5784 Highland Rd
Suite a
Waterford, MI 48327-1876

Mailing address

5784 Highland Rd
Suite a
Waterford, MI 48327-1876
Phone (248) 673-7202

National Provider Directory

National Provider Directory

Locations

6600 Highland Rd
Ste 22
Waterford, MI 48327
Phone (248) 666-4420

5784 Highland Rd
Ste A
Waterford, MI 48327
Phone (248) 673-7202

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689770463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5784 HIGHLAND RD",
            "address_2": "SUITE A",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271876",
            "telephone_number": "248-673-7202",
            "fax_number": "248-673-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5784 HIGHLAND RD",
            "address_2": "SUITE A",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271876",
            "telephone_number": "248-673-7202",
            "fax_number": "248-673-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSHARRAF U. AHMED M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MOSHARRAF",
        "authorized_official_middle_name": "UDDIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-673-7202"
    },
    "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 Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.