MICHIGAN PHYSICIANS GROUP, PC (NPI# 1134436033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134436033 |
| Entity Type | Organization |
| Organization Name | MICHIGAN PHYSICIANS GROUP, PC |
| Practice Address |
14325 Middlebelt Rd Livonia MI 48154-4541 |
| Mailing Address |
30855 John R Rd Madison Heights MI 48071-5213 |
| Practice Telephone | 7344279222 |
| Practice Fax Number | 7344276544 |
| Mailing Telephone | 2485830100 |
| Mailing Fax Number | 2485834894 |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2011-05-04 |
| Authorized Official Name | MR. DINESH SHAH (MEDICAL DOCTOR/OWNER) |
| Authorized Official Telephone | 2485830100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
4301066469 | MI | Allopathic & Osteopathic Physicians |
| N | 213E00000X | Podiatrist | 5315028842 | MI | Podiatric Medicine & Surgery Service Providers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
4301065276 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBSM | OF36177 | 01 | |
| MEDICARE DME PTAN | 6388420002 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518041052 | Michigan Physicians Group, PC | Family Medicine | 2905 12 Mile Rd, Berkley, MI 48072-1413 | 2006-10-24 |
| 1164739066 | Michigan Physicians Group, PC | Psychiatry & Neurology | 2025 W Long Lake Rd, Suite 106, Troy, MI 48098-4100 | 2010-09-13 |
| Street Address |
14325 MIDDLEBELT RD |
| City | LIVONIA |
| State | MI |
| Zip Code | 48154-4541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952388654 | Mary Janet Knapp | Family Medicine | 14325 Middlebelt Rd, Livonia, MI 48154-4593 | 2005-12-23 |
| 1235472887 | Michigan Physicians Group, P.C. | Internal Medicine | 14325 Middlebelt Rd, Livonia, MI 48154-4541 | 2013-04-02 |
| 1710913892 | Frank Roth | Family Medicine | 14325 Middlebelt Rd, Livonia, MI 48154-4541 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386227 | Iha Health Service Corporation | Durable Medical Equipment & Medical Supplies | Iha Associates In Podiatry, 14555 Levan Road Suite 116, Livonia, MI 48154 | 2020-08-17 |
| 1972130136 | Cameron Strong | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Hospital, 36475 Five Mile Road, Livonia, MI 48154 | 2020-03-26 |
| 1447894019 | Nova Pharmacy | Pharmacy | 15140 Levan Rd, Suite 40, Livonia, MI 48154 | 2019-11-06 |
| 1356992242 | Milly Baydoun | Registered Nurse | 36650 Five Mile Rd Ste 106, Livonia, MI 48154 | 2019-09-23 |
| 1861059396 | Align Family Chiropractic LLC | Clinic/Center | 19047 Middlebelt Rd, Livonia, MI 48154 | 2019-05-21 |
| 1619442159 | Ashley Vaduva | Counselor | 37677 Professional Center Dr Ste 110c, Livonia, MI 48154 | 2018-10-11 |
| 1245719434 | Myron Rubin Dds PC | Dentist | 15357 Frmington Rd, Livonia, MI 48154 | 2018-08-09 |
| 1720578636 | New Beginnings Addiction & Counseling Services | Counselor | 27677 Professional Center Drive Suite 135, Livonia, MI 48154 | 2018-05-16 |
| 1831693670 | Robust Rehab Services, Inc. | Occupational Therapist | 32854 5 Mile Rd, Livonia, MI 48154 | 2018-03-19 |
| 1184139644 | Nova Pharmacy LLC | Pharmacy | 15140 Levan Rd Suite 40, Livonia, MI 48154 | 2017-12-06 |
| Find all providers in zip 48154 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639644305 | Metropolitan Cardiovascular | Internal Medicine | 28667 Bayberry Ct E, Livonia, MI 48154-3869 | 2018-10-09 |
| 1316057391 | Jose L. Evangelista | Internal Medicine | 10475 Farmington Rd, Livonia, MI 48150-5704 | 2006-08-30 |
| 1053429100 | Myrna Arguelles Malabonga | Internal Medicine | 10475 Farmington, Livonia, MI 48150 | 2006-08-28 |
| 1306951801 | Yousef Daneshvar | Internal Medicine | 33433 6 Mile Rd, Livonia, MI 48152-3129 | 2006-08-21 |
| 1174571947 | Jowher Khaleel | Internal Medicine | 20000 Farmington Rd, Bldg E, Livonia, MI 48152-1408 | 2006-05-04 |
| 1346212800 | Andrew J Borin | Internal Medicine | 38525 8 Mile Rd, Livonia, MI 48152-1012 | 2006-02-07 |
| 1851371793 | Raymond F Gadowski | Internal Medicine | 37799 Professional Center Dr, Suite 105, Livonia, MI 48154-1153 | 2006-01-18 |
| 1073924189 | Ashraf Saleh | Internal Medicine | 14555 Levan Rd Ste 203, Livonia, MI 48154-5085 | 2014-05-12 |
| 1912298902 | Carlos A Godoy M D P C | Internal Medicine | 17920 Farmington Rd, Livonia, MI 48152-3104 | 2011-04-25 |
| 1659675031 | Barry K Lewis Do Plc | Internal Medicine | 37799 Professional Center Dr, Suite 105, Livonia, MI 48154-1153 | 2010-12-29 |
| Find all providers in LIVONIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.