Organization Active NPI

Daniel Saul Mizrahi

Doing business as Mizrahi Medicine

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1770092272
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101016034 Issued in MI
Legal business name
DANIEL SAUL MIZRAHI
Doing business as
Mizrahi Medicine
Practice address
7633 E Jefferson Ave Ste 250
Detroit, MI 48214-3731
Phone
(313) 821-3338
Fax
(313) 823-5363
NPI assigned
Sep 27, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Daniel S Mizrahi, DONPI 1740499029
Title
Owner
Phone
(248) 890-3994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101016034 MI Primary

Addresses

Primary practice location

7633 E Jefferson Ave Ste 250
Detroit, MI 48214-3731

Mailing address

7633 E Jefferson Ave Ste 250
Detroit, MI 48214-3731
Phone (313) 821-3338

Other names 1

  • Mizrahi Medicine Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1770092272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7633 E JEFFERSON AVE STE 250",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143731",
            "telephone_number": "313-821-3338",
            "fax_number": "313-823-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 E JEFFERSON AVE STE 250",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143731",
            "telephone_number": "313-821-3338",
            "fax_number": "313-823-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL SAUL MIZRAHI",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MIZRAHI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-890-3994",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101016034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mizrahi Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.