KC Pathology Associates PLLC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

KC PATHOLOGY ASSOCIATES PLLC

Practice address

44400 Van Dyke Ave
Sterling Heights, MI 48314-2370

Phone

(734) 717-2895

NPI assigned

Nov 8, 2022

Organization subpart

No

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

Authorized official

Name

Shafiqul Alam, MD

Title

General Partner

Phone

(248) 283-1100

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1801504964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30700 TELEGRAPH RD STE 1645",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254525",
            "telephone_number": "248-283-1100",
            "fax_number": "248-283-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44400 VAN DYKE AVE",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483142370",
            "telephone_number": "734-717-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC PATHOLOGY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-08",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "ALAM",
        "authorized_official_first_name": "SHAFIQUL",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "248-283-1100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therese Ann Katona
• Arsenia Kattula, PA-C
• Lana Kawa, MD
• Samer Y Kazziha, MD
• KB Family Home Care LLC
• KC Pathology Laboratory LLC
• Chaitanya Deepthi Kedarisetti, PT
• Jason Keeler
• Dajanee Kelly
• Jennifer Kelly

• Anatomic Pathology & Clinical Pathology Physician in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Anatomic Pathology & Clinical Pathology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.