Madison Internists P C

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

4301078037 Issued in MI

Legal business name

MADISON INTERNISTS P C

Practice address

27483 Dequindre Rd
Suite 202
Madison HTS, MI 48071-3491

Phone

(248) 542-2229

Fax

(248) 542-2226

NPI assigned

Sep 25, 2007

Last updated

Sep 25, 2007By 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

Shakeela Shakoor, M.D

Title

Owner

Phone

(248) 797-9063

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1962699843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 CARPENTER ST",
            "address_2": "SUITE 209",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482129802",
            "telephone_number": "313-891-5437",
            "fax_number": "313-891-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27483 DEQUINDRE RD",
            "address_2": "SUITE 202",
            "city": "MADISON HTS",
            "state": "MI",
            "postal_code": "480713491",
            "telephone_number": "248-542-2229",
            "fax_number": "248-542-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON INTERNISTS P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "SHAKOOR",
        "authorized_official_first_name": "SHAKEELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-797-9063",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301078037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Lawless
• Lori Levit, NP
• Ranald Mackenzie, OD
• Madison Heights Dental Care
• Madison HR Center Inc
• Sultan Mahmood, RPT
• Mastercare Rehab
• Peter R Miller, MD
• Swarup Misra, DO
• Chhayaben N Patel, PT

• Primary Care Clinic/Center in Madison HTS, MI
• Providers in Madison HTS, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.