Active NPI
Syed A S Makki, MD
- Psychiatry Physician
- Port Huron, MI
National Provider Identifier
1689879660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301032112
- Practice address
- 1201 Stone St
Suite 4
Port Huron, MI 48060-3563 - Phone
- (810) 982-8484
- Fax
- (810) 982-8485
- NPI assigned
- Jun 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301032112 | MI | Primary |
Addresses
Primary practice location
1201 Stone St
Suite 4
Port Huron, MI 48060-3563
Mailing address
1201 Stone St
Suite 4
Port Huron, MI 48060-3563
Phone (810) 982-8484
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388016000000",
"number": "1689879660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 STONE ST",
"address_2": "SUITE 4",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480603563",
"telephone_number": "810-982-8484",
"fax_number": "810-982-8485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 STONE ST",
"address_2": "SUITE 4",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480603563",
"telephone_number": "810-982-8484",
"fax_number": "810-982-8485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAKKI",
"first_name": "SYED",
"middle_name": "A S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-19",
"last_updated": "2013-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301032112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Huron, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.