Organization Active NPI

JFMM Corporation

  • Internal Medicine Physician
  • Hamtramck, MI
National Provider Identifier
1720302565
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301050453 Issued in MI
Legal business name
JFMM CORPORATION
Practice address
9433 Joseph Campau St
Hamtramck, MI 48212-3435
Phone
(313) 872-0398
Fax
(313) 872-0533
NPI assigned
Mar 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Dr. Maimoona Husain, MD
Title
Physician
Phone
(313) 872-0398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 4301050453 MI Primary

Addresses

Primary practice location

9433 Joseph Campau St
Hamtramck, MI 48212-3435

Mailing address

9433 Joseph Campau St
Hamtramck, MI 48212-3435
Phone (313) 872-0398

Other identifiers 1

IdentifierTypeStateIssuer
5197830MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1720302565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9433 JOSEPH CAMPAU ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123435",
            "telephone_number": "313-872-0398",
            "fax_number": "313-872-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9433 JOSEPH CAMPAU ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123435",
            "telephone_number": "313-872-0398",
            "fax_number": "313-872-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JFMM CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "HUSAIN",
        "authorized_official_first_name": "MAIMOONA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "313-872-0398",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301050453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5197830",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamtramck, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.