Organization Active NPI

Syed a S Makki MD PC

  • Psychiatry Physician
  • Port Huron, MI
National Provider Identifier
1902970262
Registry record updated Dec 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301032112 Issued in MI
Legal business name
SYED A S MAKKI MD PC
Practice address
1201 Stone St
Suite 4
Port Huron, MI 48060-3563
Phone
(810) 982-8484
Fax
(810) 982-8485
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2013

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

Authorized official

Name
Dr. Syed A S Makki, MD
Title
President of Corporation
Phone
(810) 982-8484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 4301032112 MI Primary

Addresses

Primary practice location

1201 Stone St
Suite 4
Port Huron, MI 48060-3563

Mailing address

1201 Stone St
Suite 4
Port Huron, MI 48060-3563
Phone (810) 982-8484

Other identifiers 1

IdentifierTypeStateIssuer
108335810MedicaidMI

National Provider Directory

National Provider Directory

Locations

1201 Stone St
Ste 4
Port Huron, MI 48060
Phone (810) 982-8484

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1902970262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 STONE ST",
            "address_2": "SUITE 4",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603563",
            "telephone_number": "810-982-8484",
            "fax_number": "810-982-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 STONE ST",
            "address_2": "SUITE 4",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603563",
            "telephone_number": "810-982-8484",
            "fax_number": "810-982-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYED A S MAKKI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "MAKKI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "A S",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "810-982-8484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301032112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108335810",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; 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.