Organization Active NPI

Instadr Professional Corporation

  • Family Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1861232779
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INSTADR PROFESSIONAL CORPORATION
Practice address
5164 Plymouth Rd
Ann Arbor, MI 48105-9520
Phone
(310) 402-4589
NPI assigned
May 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Ali David Chahine
Title
Ceo
Phone
(517) 205-3998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5164 Plymouth Rd
Ann Arbor, MI 48105-9520

Mailing address

5164 Plymouth Rd
Ann Arbor, MI 48105-9520
Phone (310) 402-4589

Other practice location 1

30839 E Thousand Oaks Blvd
Westlake Village, CA 91362-4039
Phone (310) 402-4589

Other practice location 2

1408 S Decatur Blvd
Las Vegas, NV 89102-8511
Phone (310) 402-4589

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1861232779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5164 PLYMOUTH RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059520",
            "telephone_number": "310-402-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5164 PLYMOUTH RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059520",
            "telephone_number": "310-402-4589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30839 E THOUSAND OAKS BLVD",
            "address_purpose": "LOCATION",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624039",
            "country_code": "US",
            "telephone_number": "310-402-4589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1408 S DECATUR BLVD",
            "address_purpose": "LOCATION",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028511",
            "country_code": "US",
            "telephone_number": "310-402-4589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INSTADR PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "CHAHINE",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "517-205-3998"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.