Organization Active NPI

Maha Medical Group Inc

  • Primary Care Clinic/Center
  • Hollywood, FL
National Provider Identifier
1861740946
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME0073654 Issued in FL
Legal business name
MAHA MEDICAL GROUP INC
Practice address
3939 Hollywood Blvd
Suite 2-B
Hollywood, FL 33021-6749
Phone
(954) 983-1113
NPI assigned
Aug 21, 2012
Last updated
Aug 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Authorized official

Name
Dr. Zafar Qureshi, MD
Title
President
Phone
(954) 983-1113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME0073654 FL Primary

Addresses

Primary practice location

3939 Hollywood Blvd
Suite 2-B
Hollywood, FL 33021-6749

Mailing address

3939 Hollywood Blvd
Suite 2-B
Hollywood, FL 33021-6749
Phone (954) 983-1113

Other identifiers 1

IdentifierTypeStateIssuer
254095900MedicaidFL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2318778Maha Medical Group Inc3939 Hollywood Blvd, Ste 2-B, Hollywood, FL 33021Certificate of waiverFeb 17, 2027

National Provider Directory

National Provider Directory

Locations

99 NW 183rd St
Ste 133
Miami Gardens, FL 33169
Phone (305) 651-0356

NPI Registry JSON

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1861740946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 HOLLYWOOD BLVD",
            "address_2": "SUITE 2-B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216749",
            "telephone_number": "954-983-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 HOLLYWOOD BLVD",
            "address_2": "SUITE 2-B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216749",
            "telephone_number": "954-983-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "ZAFAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-983-1113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME0073654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254095900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.