Active NPI
Syed Amouzegar, MD,PLLC
- Internal Medicine Physician
- Detroit, MI
National Provider Identifier
1982771531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4030032424
- Legal business name
- SYED AMOUZEGAR, MD,PLLC
- Practice address
- 16810 W Warren Ave
Detroit, MI 48228-3503 - Phone
- (313) 582-9520
- Fax
- (313) 582-9521
- NPI assigned
- Nov 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Syed A Amouzegar, (M.D.,PLLC)
- Title
- Internal Medicine
- Phone
- (313) 582-9520
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4030032424 | MI | Primary |
Addresses
Primary practice location
16810 W Warren Ave
Detroit, MI 48228-3503
Mailing address
16810 W Warren Ave
Detroit, MI 48228-3503
Phone (313) 582-9520
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1108201102 | Other | MI | BLUE CROSS |
| 4504990 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
16810 W Warren Ave
Detroit, MI 48228
Phone (313) 582-9520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1982771531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16810 W WARREN AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482283503",
"telephone_number": "313-582-9520",
"fax_number": "313-582-9521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16810 W WARREN AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482283503",
"telephone_number": "313-582-9520",
"fax_number": "313-582-9521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYED AMOUZEGAR, MD,PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "AMOUZEGAR",
"authorized_official_first_name": "SYED",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "INTERNAL MEDICINE",
"authorized_official_telephone_number": "313-582-9520",
"authorized_official_credential": "(M.D.,PLLC)"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "4030032424",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "1108201102",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4504990",
"state": "MI"
}
],
"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 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.