Organization Active NPI

Mohammad Navai

  • General Practice Physician
  • Walled Lake, MI
National Provider Identifier
1689897175
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MN039162 Issued in MI
Legal business name
MOHAMMAD NAVAI
Practice address
1935 N Pontiac TRL
Walled Lake, MI 48390-3157
Phone
(248) 624-6633
NPI assigned
Apr 11, 2007
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
Mohammad Navai, MD
Title
Pediatric Medicine
Phone
(248) 624-6633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X MN039162 MI Primary

Addresses

Primary practice location

1935 N Pontiac TRL
Walled Lake, MI 48390-3157

Mailing address

1935 N Pontiac TRL
Walled Lake, MI 48390-3157
Phone (248) 624-6633

Other identifiers 1

IdentifierTypeStateIssuer
1619331MedicaidMI

National Provider Directory

National Provider Directory

Locations

1935 N Pontiac Trl
Walled Lake, MI 48390
Phone (248) 624-6633

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689897175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 N PONTIAC TRL",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903157",
            "telephone_number": "248-624-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 N PONTIAC TRL",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903157",
            "telephone_number": "248-624-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD NAVAI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAVAI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PEDIATRIC MEDICINE",
        "authorized_official_telephone_number": "248-624-6633",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MI",
            "license": "MN039162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619331",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walled Lake, 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.