NPIMap

Organization Active NPI

Agape Medical Services PLLC

  • General Practice Physician
  • Sterling Heights, MI
National Provider Identifier
1811240930
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4301099522 Issued in MI
Legal business name
AGAPE MEDICAL SERVICES PLLC
Practice address
34854 Moravian Dr
Apt. 216
Sterling Heights, MI 48312-5491
Phone
(718) 404-7016
NPI assigned
Oct 26, 2012
Last updated
Oct 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Authorized official

Name
Dr. Raafat B Shehata, MD
Title
Owner
Phone
(718) 404-7016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 4301099522 MI Primary

Addresses

Primary practice location

34854 Moravian Dr
Apt. 216
Sterling Heights, MI 48312-5491

Mailing address

34854 Moravian Dr
Apt. 216
Sterling Heights, MI 48312-5491
Phone (718) 404-7016

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1811240930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34854 MORAVIAN DR",
            "address_2": "APT. 216",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483125491",
            "telephone_number": "718-404-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34854 MORAVIAN DR",
            "address_2": "APT. 216",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483125491",
            "telephone_number": "718-404-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "SHEHATA",
        "authorized_official_first_name": "RAAFAT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-404-7016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301099522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.