NPIMap

Organization Active NPI

Conant Walk in Clinic PC

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1932459054
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301098073 Issued in MI
Legal business name
CONANT WALK IN CLINIC PC
Practice address
19953 Conant St
Detroit, MI 48234-1334
Phone
(586) 273-7593
Fax
(586) 273-7594
NPI assigned
Sep 17, 2012
Last updated
Sep 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Authorized official

Name
Uzma Chaudhry, MD
Title
Provider
Phone
(586) 273-7593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301098073 MI Primary

Addresses

Primary practice location

19953 Conant St
Detroit, MI 48234-1334

Mailing address

19953 Conant St
Detroit, MI 48234-1334
Phone (586) 273-7593

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1932459054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19953 CONANT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341334",
            "telephone_number": "586-273-7593",
            "fax_number": "586-273-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19953 CONANT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341334",
            "telephone_number": "586-273-7593",
            "fax_number": "586-273-7594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONANT WALK IN CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "UZMA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "586-273-7593",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301098073",
            "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 Sep 17, 2012; 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.