Michigan Infection Specialists PLLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

MICHIGAN INFECTION SPECIALISTS PLLC

Practice address

7815 E Jefferson Ave
Suite 2C
Detroit, MI 48214-3704

Phone

(313) 499-4255

Fax

(313) 499-4913

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Asgar Boxwalla, MDNPI 1740248541

Title

President

Phone

(313) 499-4255

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

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

• Asgar Alihusain Boxwalla, MD

  • Infectious Disease Physician
  • Detroit, MI
  • NPI 1740248541
  Medicare reassignment NPD Authorized official
• Suresha Chandani Bandara, M.D.

  • Infectious Disease Physician
  • Bloomfield Hills, MI
  • NPI 1841457454
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1780631671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7815 E JEFFERSON AVE",
            "address_2": "SUITE 2C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143704",
            "telephone_number": "313-499-4255",
            "fax_number": "313-499-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7815 E JEFFERSON AVE",
            "address_2": "SUITE 2C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143704",
            "telephone_number": "313-499-4255",
            "fax_number": "313-499-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN INFECTION SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "BOXWALLA",
        "authorized_official_first_name": "ASGAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-499-4255",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Infectious Disease Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Infectious Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.