Active NPI
Abdulaziz Al-Abdulghani
- Neurology Physician
- Lansing, MI
National Provider Identifier
1831769801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 4351047424
- Practice address
- 1215 E Michigan Ave
Lansing, MI 48912-1811 - Phone
- (517) 364-1000
- NPI assigned
- Jun 30, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 4351047424 | MI | Primary |
Addresses
Primary practice location
1215 E Michigan Ave
Lansing, MI 48912-1811
Mailing address
2505 Showtime Dr Apt 511
Lansing, MI 48912-5644
Phone (517) 219-2841
Other practice location 1
804 Service Rd
East Lansing, MI 48824-7015
Phone (517) 353-3000
Other practice location 2
401 W Greenlawn Ave
Lansing, MI 48910-2819
Phone (517) 975-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4351047424 | MI | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1831769801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 SHOWTIME DR APT 511",
"city": "LANSING",
"state": "MI",
"postal_code": "489125644",
"telephone_number": "517-219-2841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 E MICHIGAN AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489121811",
"telephone_number": "517-364-1000"
}
],
"practiceLocations": [
{
"address_1": "804 Service Rd",
"address_purpose": "LOCATION",
"city": "East Lansing",
"state": "MI",
"postal_code": "488247015",
"country_code": "US",
"telephone_number": "517-353-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "401 W Greenlawn Ave",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "MI",
"postal_code": "489102819",
"country_code": "US",
"telephone_number": "517-975-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AL-ABDULGHANI",
"first_name": "ABDULAZIZ",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-30",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "4351047424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.