Organization Active NPI

Stat Physician PC

  • Internal Medicine Physician
  • Rochester Hills, MI
National Provider Identifier
1811026479
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301071426 Issued in MI
Legal business name
STAT PHYSICIAN PC
Practice address
2710 S Rochester Rd
Suite E
Rochester Hills, MI 48307-4547
Phone
(248) 853-9097
Fax
(248) 852-0347
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gursharanjit Singh DhillonNPI 1386712578
Title
MD
Phone
(248) 214-8722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301071426 MI Primary

Addresses

Primary practice location

2710 S Rochester Rd
Suite E
Rochester Hills, MI 48307-4547

Mailing address

2710 S Rochester Rd
Suite E
Rochester Hills, MI 48307-4547

Other identifiers 1

IdentifierTypeStateIssuer
4507606MedicaidMI

National Provider Directory

National Provider Directory

Locations

2710 S Rochester Rd
Ste E
Rochester Hills, MI 48307
Phone (248) 853-8137

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811026479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 S ROCHESTER RD",
            "address_2": "SUITE E",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 S ROCHESTER RD",
            "address_2": "SUITE E",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074547",
            "telephone_number": "248-853-9097",
            "fax_number": "248-852-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DHILLON",
        "authorized_official_first_name": "GURSHARANJIT",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "248-214-8722"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301071426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4507606",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.