Organization Active NPI

United Visiting Physician PLC

  • Internal Medicine Physician
  • Southfield, MI
National Provider Identifier
1730521626
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301087281 Issued in MI
Legal business name
UNITED VISITING PHYSICIAN PLC
Practice address
18620 W 10 Mile Rd
Suite 212
Southfield, MI 48075-2667
Phone
(248) 854-5357
NPI assigned
Jul 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
Radwan Malas
Title
Practice Manager
Phone
(248) 854-5357

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 4301087281 MI Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 4301091031 MI

Addresses

Primary practice location

18620 W 10 Mile Rd
Suite 212
Southfield, MI 48075-2667

Mailing address

18620 W 10 Mile Rd
Suite 212
Southfield, MI 48075-2667
Phone (248) 854-5357

National Provider Directory

National Provider Directory

Locations

18620 W 10 Mile Rd
Ste 212
Southfield, MI 48075
Phone (248) 854-5357

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1730521626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18620 W 10 MILE RD",
            "address_2": "SUITE 212",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752667",
            "telephone_number": "248-854-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18620 W 10 MILE RD",
            "address_2": "SUITE 212",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752667",
            "telephone_number": "248-854-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED VISITING PHYSICIAN PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "MALAS",
        "authorized_official_first_name": "RADWAN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "248-854-5357"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301087281",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301091031",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.