Individual provider Active NPI

Ghazanfar Latif, MD

  • Internal Medicine Physician
  • Saginaw, MI
National Provider Identifier
1710309661
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301104304 Issued in MI
Practice address
2219 Manchester Dr
Saginaw, MI 48609-9221
Phone
(609) 576-6322
NPI assigned
Jan 13, 2014
Last updated
May 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301104304 MI Primary
General Practice Physician 208D00000X 4301104304 MI

Addresses

Primary practice location

2219 Manchester Dr
Saginaw, MI 48609-9221

Mailing address

2219 Manchester Dr
Saginaw, MI 48609-9221
Phone (609) 576-6322

Other practice location 1

1525 W Caro Rd
Caro, MI 48723-9686
Phone (989) 672-2100

Other identifiers 2

IdentifierTypeStateIssuer
1689022469MedicaidMI
1659326395MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251030000531 PA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 9436389335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Amaning K Sarkodie, MD,PLC CurrentSince Oct 24, 2022 Accepting new patients
Shields Chiropractic LLC CurrentSince Nov 10, 2023 Accepting new patients

Locations

7261 Gratiot Rd
Saginaw, MI 48609
Phone (989) 270-3100

3444 Davenport Ave
Saginaw, MI 48602
Phone (833) 855-2001

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1710309661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 MANCHESTER DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486099221",
            "telephone_number": "609-576-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 MANCHESTER DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486099221",
            "telephone_number": "609-576-6322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1525 W Caro Rd",
            "address_purpose": "LOCATION",
            "city": "Caro",
            "state": "MI",
            "postal_code": "487239686",
            "country_code": "US",
            "telephone_number": "989-672-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LATIF",
        "first_name": "GHAZANFAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-13",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301104304",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301104304",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689022469",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659326395",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.