Organization Active NPI

Firooz Banooni, M.D. P.L.L.C

  • Obstetrics & Gynecology Physician
  • Royal Oak, MI
National Provider Identifier
1942304555
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
FB032283 Issued in MI
Legal business name
FIROOZ BANOONI, M.D. P.L.L.C
Practice address
3535 W 13 Mile Rd
Suite 301
Royal Oak, MI 48073-6710
Phone
(248) 288-2230
Fax
(248) 288-5450
NPI assigned
Sep 12, 2006
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. Firooz Banooni, M.D.
Title
Owner
Phone
(248) 288-2230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X FB032283 MI Primary

Addresses

Primary practice location

3535 W 13 Mile Rd
Suite 301
Royal Oak, MI 48073-6710

Mailing address

3535 W 13 Mile Rd
Suite 301
Royal Oak, MI 48073-6710
Phone (248) 288-2230

National Provider Directory

National Provider Directory

Locations

3535 W 13 Mile Rd
Ste 301
Royal Oak, MI 48073
Phone (248) 288-2230

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942304555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD",
            "address_2": "SUITE 301",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736710",
            "telephone_number": "248-288-2230",
            "fax_number": "248-288-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD",
            "address_2": "SUITE 301",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736710",
            "telephone_number": "248-288-2230",
            "fax_number": "248-288-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIROOZ BANOONI, M.D. P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BANOONI",
        "authorized_official_first_name": "FIROOZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-288-2230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "FB032283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, 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.