Organization Active NPI

A Rauf MD PC

  • Psychiatry Physician
  • Brownstown, MI
National Provider Identifier
1770894297
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
AR060767 Issued in MI
Legal business name
A RAUF MD PC
Practice address
19090 Pine Ledge Dr
Brownstown, MI 48193-7494
Phone
(734) 674-9950
Fax
(734) 692-0878
NPI assigned
Jun 30, 2010
Last updated
Jun 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Dr. Abdul Rauf, MD
Title
Officer
Phone
(734) 674-9950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X AR060767 MI Primary

Addresses

Primary practice location

19090 Pine Ledge Dr
Brownstown, MI 48193-7494

Mailing address

19090 Pine Ledge Dr
Brownstown, MI 48193-7494
Phone (734) 674-9950

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1770894297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19090 PINE LEDGE DR",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481937494",
            "telephone_number": "734-674-9950",
            "fax_number": "734-692-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19090 PINE LEDGE DR",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481937494",
            "telephone_number": "734-674-9950",
            "fax_number": "734-692-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A RAUF MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "RAUF",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "734-674-9950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "AR060767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownstown, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.