UNIVERSITY INTERNAL MEDICINE SPECIALISTS (NPI# 1558386300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558386300 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY INTERNAL MEDICINE SPECIALISTS |
| Practice Address |
4201 Saint Antoine St Suite 4c Detroit MI 48201-2153 |
| Mailing Address |
3800 Woodward Ave Suite 702 Detroit MI 48201-2061 |
| Practice Telephone | 3137454525 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JILL G. MOORE (CAO) |
| Authorized Official Telephone | 3137458212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982738290 | University Internal Medicine Specialists | Internal Medicine | 4160 John R., Suite 917, Detroit, MI 48201 | 2007-03-16 |
| 1790819001 | University Internal Medicine Specialists | Internal Medicine | 50 E. Canfield, Detroit, MI 48201 | 2007-03-16 |
| 1972724276 | University Internal Medicine Specialists | Dietitian, Registered | 50 E Canfield St, Detroit, MI 48201-1804 | 2007-05-02 |
| 1215158514 | University Internal Medicine Specialists | Physician Assistant | 4100 John R St, Detroit, MI 48201-2013 | 2007-05-02 |
| 1265566574 | University Internal Medicine Specialists | Nurse Practitioner | 4100 John R St, Detroit, MI 48201-2013 | 2007-03-16 |
| 1063546703 | University Internal Medicine Specialists | Internal Medicine | 4100 John R St, Detroit, MI 48201-2013 | 2007-03-15 |
| 1295869931 | University Internal Medicine Specialists | Internal Medicine | 3990 John R St, Detroit, MI 48201-2018 | 2007-03-15 |
| 1831223346 | University Internal Medicine Specialists | Internal Medicine | 4201 St. Antoine, Suite 4c, Detroit, MI 48201 | 2007-03-15 |
| 1699796367 | University Internal Medicine Specialists | Internal Medicine | 4160 John R St, Suite 917, Detroit, MI 48201-2020 | 2006-07-21 |
| 1609805969 | University Internal Medicine Specialists | Internal Medicine | 4160 John R St, Suite 917, Detroit, MI 48201-2020 | 2006-06-30 |
| Street Address |
4201 SAINT ANTOINE ST SUITE 4C |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760477871 | John Mckay Perkowski | Nurse Anesthetist, Certified Registered | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2005-09-14 |
| 1013517028 | Madappulli Arachchige Wickrama | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-10-28 |
| 1134731466 | Helda Bacall | Nurse Practitioner | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-08-18 |
| 1568088680 | Michelle De Varennes | Physician Assistant | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-06-24 |
| 1235754144 | Saren Yeranosian | Pharmacist | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-06-16 |
| 1083239230 | Jacqueline Ferraro-jaworski | Pharmacist | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-06-13 |
| 1770107617 | Zamaan Sayeed Sohel | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-06-06 |
| 1881218790 | Erin Marie Dinnell | Nurse Practitioner | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-06-05 |
| 1487276721 | Andrew R Kumar | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-05-09 |
| 1598386005 | Kayla Richelle Robinson | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-05-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
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| 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 |
|---|---|---|---|---|
| 1831539469 | Bayoan Manuel Ramos-parra | Internal Medicine | 311 Mack Ave Ste 21025, Detroit, MI 48201-2466 | 2013-06-27 |
| 1972796373 | Mark K. Lahiri | Internal Medicine | 2799 W Grand Blvd., Detroit, MI 48202 | 2007-08-20 |
| 1619181427 | Aiden Abidov | Internal Medicine | 4160 John R St Ste 804, Detroit, MI 48201-2014 | 2007-05-10 |
| 1174740229 | Benjamin A Burroughs | Internal Medicine | 2799 W. Grand Blvd, K-14, Henry Ford Cardiac Surgery Pofessional Building, Detroit, MI 48202 | 2007-04-19 |
| 1225151061 | Dee Dee Wang | Internal Medicine | 2799 W Grand Blvd # K-14, Detroit, MI 48202-2608 | 2007-04-09 |
| 1831267376 | Arif Husain Hakim | Internal Medicine | 14500 W Mcnichols Rd, Detroit, MI 48235-3904 | 2006-12-01 |
| 1528145679 | Zeia Casab Rueda | Internal Medicine | 5662 W Vernor Hwy, Detroit, MI 48209-2158 | 2006-11-01 |
| 1841398880 | Narsimha Reddy Gottam | Internal Medicine | 7633 E Jefferson Ave., Suite #360, Detroit, MI 48214-3732 | 2006-09-21 |
| 1033221056 | Khaled M Sleik | Internal Medicine | 311 Mack Ave Ste 2101, Detroit, MI 48201-2466 | 2006-08-31 |
| 1992817076 | Pritpal Singh Puri | Internal Medicine | Harper Hospital 3990john R, C/o Medical Affairs, Detroit, MI 48201-2403 | 2006-08-31 |
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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.