Organization Active NPI

Carpenter Bangla Medical Clinic

  • General Practice Physician
  • Detroit, MI
National Provider Identifier
1871749374
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CARPENTER BANGLA MEDICAL CLINIC
Practice address
3611 Carpenter St
Suite 5
Detroit, MI 48212-2784
Phone
(313) 368-9502
Fax
(313) 368-9502
NPI assigned
Aug 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Authorized official

Name
Abdul Mabud Quazi, M.D
Title
Owner
Phone
(313) 368-9502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

3611 Carpenter St
Suite 5
Detroit, MI 48212-2784

Mailing address

3611 Carpenter St
Suite 5
Detroit, MI 48212-2784
Phone (313) 368-9502

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1871749374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 CARPENTER ST",
            "address_2": "SUITE 5",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482122784",
            "telephone_number": "313-368-9502",
            "fax_number": "313-368-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 CARPENTER ST",
            "address_2": "SUITE 5",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482122784",
            "telephone_number": "313-368-9502",
            "fax_number": "313-368-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARPENTER BANGLA MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "QUAZI",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "MABUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-368-9502",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.