Organization Active NPI

Child and Adult Medicine of Grand Blanc

  • Pediatrics Physician
  • Grand Blanc, MI
National Provider Identifier
1912052010
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301067790 Issued in MI
Legal business name
CHILD AND ADULT MEDICINE OF GRAND BLANC
Practice address
8235 Holly Rd
Suite 1
Grand Blanc, MI 48439-2441
Phone
(810) 694-9110
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Habib Khalid Akrawi, M.D.
Title
Owner
Phone
(810) 694-9110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 4301067790 MI Primary

Addresses

Primary practice location

8235 Holly Rd
Suite 1
Grand Blanc, MI 48439-2441

Mailing address

8235 Holly Rd
Suite 1
Grand Blanc, MI 48439-2441
Phone (810) 694-9110

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912052010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8235 HOLLY RD",
            "address_2": "SUITE 1",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392441",
            "telephone_number": "810-694-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8235 HOLLY RD",
            "address_2": "SUITE 1",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392441",
            "telephone_number": "810-694-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND ADULT MEDICINE OF GRAND BLANC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AKRAWI",
        "authorized_official_first_name": "HABIB",
        "authorized_official_middle_name": "KHALID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-694-9110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301067790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.