Lathrup Primary Care PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

LATHRUP PRIMARY CARE PC

Practice address

26631 Southfield Rd
Lathrup Village, MI 48076-4530

Phone

(248) 552-8195

Fax

(248) 552-8537

NPI assigned

Mar 8, 2013

Last updated

Mar 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Munzer Samad, MDNPI 1972581908

Title

President

Phone

(248) 552-8195

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Munzer Samad, M.D.

  • Family Medicine Physician
  • Lathrup Village, MI
  • NPI 1972581908
  Authorized official Same address or phone
• Jessica E Jordan, PA-C

  • Medical Physician Assistant
  • Ann Arbor, MI
  • NPI 1447203344
  NPD
• Mohammad Imran Qureshi, MD

  • Cardiovascular Disease Physician
  • Beverly Hills, MI
  • NPI 1982684254
  NPD

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362700800000",
    "number": "1912248493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26631 SOUTHFIELD RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480764530",
            "telephone_number": "248-552-8195",
            "fax_number": "248-552-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26631 SOUTHFIELD RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480764530",
            "telephone_number": "248-552-8195",
            "fax_number": "248-552-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATHRUP PRIMARY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-08",
        "last_updated": "2013-03-08",
        "status": "A",
        "authorized_official_last_name": "SAMAD",
        "authorized_official_first_name": "MUNZER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-552-8195",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victora H Langsam, MD
• Kaia Larry
• Lathrup Apothecary Inc (Lathrup Pharmacy)
• Lathrup Family Dentistry
• Lathrup Health Clinic PC
• Lifetime Dental Care of Michigan, P.C. (Affordable Dental Care)
• Lifetime Dental Care of Michigan, P.C. (Signature Smiles - Lathrup Village)
• Mara Jennifer Lipkovitz, LMSW,ACSW
• Esmeralda Lopez
• Louis J Geller DPM PC (Geller Foot Clinic)

• General Practice Physician in Lathrup Village, MI
• Providers in Lathrup Village, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.