Active NPI
Instadr Professional Corporation
- Family Medicine Physician
- Ann Arbor, MI
National Provider Identifier
1861232779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryNPI 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.