Internal Medicine Associates of Miller Rd

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301023744 Issued in MI

Legal business name

INTERNAL MEDICINE ASSOCIATES OF MILLER RD

Practice address

5097 Miller Rd
Flint, MI 48507-1066

Phone

(810) 230-0120

Fax

(810) 230-6733

NPI assigned

Mar 3, 2010

Organization subpart

No

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

Authorized official

Name

Eugene N Chardoul, M.D.

Title

President

Phone

(810) 230-0120

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1982927018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5097 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071066",
            "telephone_number": "810-230-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5097 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071066",
            "telephone_number": "810-230-0120",
            "fax_number": "810-230-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOCIATES OF MILLER RD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "CHARDOUL",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-230-0120",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301023744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrative Pediatric Gi and Lifestyle Medicine
• Integrity Drive LLC
• Intelicare Hospice Services III, LLC
• Interim Healthcare of Flint LLC
• Internal Medicine Associates of Flint P.C.
• Internal Medicine Associates, PC
• Internal Medicine Consultants, PC
• Internal Medicine Health Center PC
• Allan L Ippolito, M.D.
• Hafiza Zanish Iram, MD

• Internal Medicine Physician in Flint, MI
• Providers in Flint, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.