Manhal W Tobia M.D., P.C.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

4301068505 Issued in MI

Legal business name

MANHAL W TOBIA M.D., P.C.

Practice address

18161 W 12 Mile Rd Ste 2
Lathrup Village, MI 48076-2662

Phone

(248) 552-1200

Fax

(248) 552-1201

NPI assigned

Jun 29, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Melinda Joanne Shamoun

Title

Office Manager

Phone

(248) 552-1200

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1730386913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18161 W 12 MILE RD STE 2",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762662",
            "telephone_number": "248-552-1200",
            "fax_number": "248-552-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18161 W 12 MILE RD STE 2",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762662",
            "telephone_number": "248-552-1200",
            "fax_number": "248-552-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHAL W TOBIA M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "SHAMOUN",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "JOANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-552-1200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "MI",
            "license": "4301068505",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MI",
            "license": "MT068505",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "06338982",
            "identifier": "1730386913",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1730386913",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Legal Medicine in Lathrup Village, MI
• Providers in Lathrup Village, MI by specialty
• Legal Medicine in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.