Michigan Neurodiagnostics, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

ST039317 Issued in MI

Legal business name

MICHIGAN NEURODIAGNOSTICS, PC

Practice address

15142 Levan Rd
Livonia, MI 48154-5027

Phone

(734) 779-2147

Fax

(734) 779-2160

NPI assigned

Apr 6, 2007

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Saleem A. Tahir, M.D.NPI 1952300659

Title

President

Phone

(734) 779-2147

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Saleem A. Tahir, M.D.

  • Neurology Physician
  • Livonia, MI
  • NPI 1952300659
  Authorized official Same address or phone

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1700909843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15142 LEVAN RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545027",
            "telephone_number": "734-779-2147",
            "fax_number": "734-779-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15142 LEVAN RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545027",
            "telephone_number": "734-779-2147",
            "fax_number": "734-779-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN NEURODIAGNOSTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "TAHIR",
        "authorized_official_first_name": "SALEEM",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-779-2147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "ST039317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4161242 TYPE 10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michigan Institute of Medicine PC
• Michigan Institute of Urology, PC
• Michigan Lung & Sleep Specialists, PLC
• Michigan Medical Equipment,Inc.
• Michigan Mobility Centers Inc (A-1 Mobility Center)
• Michigan Neurosurgeons,PLLC
• Michigan Ophthalmology Specialists, PLLC (Advanced Ophthalmology Associates)
• Michigan Orthopedic Services LLC
• Michigan Pediatric Surgery Center PC
• Michigan Physicians Group, P.C.

• Specialist in Livonia, MI
• Providers in Livonia, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.