NPIMap

Organization Active NPI

Asadulla Mohammed MD PC

  • Pulmonary Disease Physician
  • Berkley, MI
National Provider Identifier
1861797144
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301072444 Issued in MI
Legal business name
ASADULLA MOHAMMED MD PC
Practice address
27901 Woodward Ave Ste 220
Berkley, MI 48072-0918
Phone
(248) 556-5582
Fax
(248) 850-7142
NPI assigned
Jan 19, 2011
Last updated
Jun 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Dr. Asudulla Mohammed, MD
Title
President
Phone
(248) 494-8596

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 4301072444 MI
Pulmonary Disease Physician 207RP1001X 4301072444 MI Primary

Addresses

Primary practice location

27901 Woodward Ave Ste 220
Berkley, MI 48072-0918

Mailing address

17177 N Laurel Park Dr Ste 439
Livonia, MI 48152-3938
Phone (248) 556-5237

Other identifiers 1

IdentifierTypeStateIssuer
290F395360OtherMIBCBSM

National Provider Directory

National Provider Directory

Locations

2615 Electric Ave
Port Huron, MI 48060
Phone (810) 984-8470

611 Court St
Ste 101A
West Branch, MI 48661
Phone (855) 276-2111

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1861797144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17177 N LAUREL PARK DR STE 439",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523938",
            "telephone_number": "248-556-5237",
            "fax_number": "248-850-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27901 WOODWARD AVE STE 220",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480720918",
            "telephone_number": "248-556-5582",
            "fax_number": "248-850-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASADULLA MOHAMMED MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "ASUDULLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-494-8596",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "4301072444",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301072444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "290F395360",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkley, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.