Enas Nakkash, MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301077105 Issued in MI

Legal business name

ENAS NAKKASH, MD PC

Practice address

35200 Dequindre Rd
Sterling Heights, MI 48310-4837

Phone

(586) 939-8888

Fax

(586) 939-8882

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Ansam Karmo

Title

Account

Phone

(248) 336-3937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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.

• Enas Nakkash, MD,PC

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1801962691

  Single Specialty

  Medicare reassignment NPD
• Ghinwa Nakkash, MD

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1649253311
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1801012323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 279",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480300279",
            "telephone_number": "248-336-3937",
            "fax_number": "248-336-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35200 DEQUINDRE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104837",
            "telephone_number": "586-939-8888",
            "fax_number": "586-939-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENAS NAKKASH, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "KARMO",
        "authorized_official_first_name": "ANSAM",
        "authorized_official_title_or_position": "ACCOUNT",
        "authorized_official_telephone_number": "248-336-3937"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301077105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Sterling Heights, MI
• Providers in Sterling Heights, 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 Jan 30, 2013; 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.