Organization Active NPI

Michigan Pulmonary & Sleep Specialist PLLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Dearborn, MI
National Provider Identifier
1821333279
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
4301078170 Issued in MI
Legal business name
MICHIGAN PULMONARY & SLEEP SPECIALIST PLLC
Practice address
1611 Monroe St
Dearborn, MI 48124-2912
Phone
(734) 451-0600
Fax
(734) 451-0603
NPI assigned
Dec 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Dr. Kamal A Nasser, MD
Title
Owner
Phone
(313) 605-4506

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 4301078170 MI
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 4301078170 MI Primary

Addresses

Primary practice location

1611 Monroe St
Dearborn, MI 48124-2912

Mailing address

1611 Monroe St
Dearborn, MI 48124-2912
Phone (734) 451-0600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1821333279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242912",
            "telephone_number": "734-451-0600",
            "fax_number": "734-451-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242912",
            "telephone_number": "734-451-0600",
            "fax_number": "734-451-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN PULMONARY & SLEEP SPECIALIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-11",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "NASSER",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-605-4506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "MI",
            "license": "4301078170",
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "MI",
            "license": "4301078170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.