Organization Active NPI

Zakwan Mahjoub

  • Interventional Cardiology Physician
  • Rochester Hills, MI
National Provider Identifier
1750749974
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
4301067249 Issued in MI
Legal business name
ZAKWAN MAHJOUB
Practice address
811 South Blvd E Ste 105
Rochester Hills, MI 48307-5303
Phone
(248) 710-1000
Fax
(248) 710-1011
NPI assigned
Feb 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Ms. Terri White
Title
Practice Manager
Phone
(248) 710-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X 4301067249 MI Primary

Addresses

Primary practice location

811 South Blvd E Ste 105
Rochester Hills, MI 48307-5303

Mailing address

811 South Blvd E.
Ste 105
Rochester Hills, MI 48307-5303
Phone (248) 710-1000

Other identifiers 1

IdentifierTypeStateIssuer
104254136MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160418001623 MI Part B Supplier - Clinic/Group Practice 0749588168 Receives reassigned benefits from 2 practitioners
Practice locations: Rochester Hills, MI

National Provider Directory

National Provider Directory

Locations

811 South Blvd E
Ste 105
Rochester Hills, MI 48307
Phone (248) 652-6336

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1750749974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 SOUTH BLVD E.",
            "address_2": "STE 105",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075303",
            "telephone_number": "248-710-1000",
            "fax_number": "248-710-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 SOUTH BLVD E STE 105",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075303",
            "telephone_number": "248-710-1000",
            "fax_number": "248-710-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAKWAN MAHJOUB",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "248-710-1000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301067249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104254136",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.