Kingswood Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KINGSWOOD INTERNAL MEDICINE

Practice address

43097 Woodward Ave
Suite 204
Bloomfield Hills, MI 48302-5041

Phone

(248) 334-3136

Fax

(248) 334-3871

NPI assigned

May 2, 2007

Last updated

Oct 11, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Faiz Mansouor

Title

Partner

Phone

(248) 334-3136

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1780806810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43097 WOODWARD AVE",
            "address_2": "SUITE 204",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025041",
            "telephone_number": "248-334-3136",
            "fax_number": "248-334-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43097 WOODWARD AVE",
            "address_2": "SUITE 204",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025041",
            "telephone_number": "248-334-3136",
            "fax_number": "248-334-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSWOOD INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "MANSOUOR",
        "authorized_official_first_name": "FAIZ",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "248-334-3136"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Majd Khytaz, AGAC-NP
• Ellen Jean Kiefer, OTR
• Kimberly Marie Kilian, PA-C
• Ghassan Killu, PHARMD
• Azra A Kim, MSW
• Kingswood Urgent Medical Center PC
• Kirsch and Blau DDS
• Richard Kirsch, DDS
• Rishi Kishore, PT
• Riham Kiston, PHARM.D.

• Internal Medicine Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.