Mudassir Daimee MD , PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301076708 Issued in MI

Legal business name

MUDASSIR DAIMEE MD , PLLC

Practice address

5248 Provincial Dr
Bloomfield Township, MI 48302-2533

Phone

(248) 302-9147

NPI assigned

Jan 17, 2008

Organization subpart

No

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

Authorized official

Name

Mudassir A Daimee, MD

Title

Owner

Phone

(248) 302-9147

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200873600000",
    "number": "1689850844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250670",
            "city": "FRANKLIN",
            "state": "MI",
            "postal_code": "480250670",
            "telephone_number": "248-302-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5248 PROVINCIAL DR",
            "city": "BLOOMFIELD TOWNSHIP",
            "state": "MI",
            "postal_code": "483022533",
            "telephone_number": "248-302-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUDASSIR DAIMEE MD , PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-01-21",
        "status": "A",
        "authorized_official_last_name": "DAIMEE",
        "authorized_official_first_name": "MUDASSIR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-302-9147",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301076708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMER",
            "identifier": "4301076708",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Bloomfield Township, MI
• Providers in Bloomfield Township, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; 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.