DR. MANSOOR G NAINI (NPI# 1780645036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780645036 |
| Entity Type | Individual |
| Full Name | DR. MANSOOR G NAINI |
| Credential | M.D |
| Practice Address |
4020 Venoy Rd Suite 200 Wayne MI 48184-1869 |
| Mailing Address |
2294 Lone Pine Rd West Bloomfield MI 48323-3611 |
| Practice Telephone | 7344597444 |
| Practice Fax Number | 7344597744 |
| Mailing Telephone | 7344597444 |
| Mailing Fax Number | 7344597755 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2014-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MN036991 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3405307 | 05 |
| Street Address |
4020 VENOY RD SUITE 200 |
| City | WAYNE |
| State | MI |
| Zip Code | 48184-1869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194794412 | Adilakshmi Kaza | Obstetrics & Gynecology | 4020 Venoy Rd, Suite 400, Wayne, MI 48184-1869 | 2006-03-17 |
| 1477711414 | Chawki M Fakih | Pharmacist | 4020 Venoy Rd, Wayne, MI 48184-1869 | 2008-05-27 |
| 1407042922 | Jolly Neurological Clinic PC | Psychiatry & Neurology | 4020 Venoy Rd, 800, Wayne, MI 48184-1869 | 2007-09-18 |
| 1932237864 | Stars Investment Inc | Pharmacy | 4020 Venoy Rd, Suite 900, Wayne, MI 48184-1869 | 2007-03-01 |
| 1760527659 | Stars Investment Inc | Public Health or Welfare | 4020 Venoy Rd, Ste 200a, Wayne, MI 48184-1869 | 2007-02-20 |
| 1801969472 | Luningning V Regalado | Internal Medicine | 4020 Venoy Rd, Wayne, MI 48184-1869 | 2006-11-15 |
| 1275618027 | Michigan Cardiology Associates PC | Internal Medicine | 4020 Venoy Rd, Suite 200, Wayne, MI 48184-1869 | 2006-10-26 |
| 1699866509 | Rajesh Chander Gulati | Internal Medicine | 4020 Venoy Rd, Suite 200, Wayne, MI 48184-1869 | 2006-09-27 |
| 1164479911 | Surindar K Jolly | Psychiatry & Neurology | 4020 Venoy Rd, Ste#800, Wayne, MI 48184-1869 | 2006-05-27 |
| 1013967819 | John W Armstead | Obstetrics & Gynecology | 4020 Venoy Rd, Suite 400, Wayne, MI 48184-1869 | 2006-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215570932 | Wayne Rx | Pharmacy | 4603 Wayne Rd, Wayne, MI 48184 | 2019-10-25 |
| 1669902433 | Randi Oswald | Massage Therapist | 34336 Richard St., Wayne, MI 48184 | 2017-06-14 |
| 1306393822 | Amanda Anastasoff | Technician, Other | 35640 West Michigan Avenue, Wayne, MI 48184 | 2016-09-01 |
| 1871941302 | Christopher Schrimscher | Technician, Other | 34560 Michigan Avenue W, Wayne, MI 48184 | 2016-05-25 |
| 1659757334 | Anna Bondy | Technician, Other | 35640 Michigan Ave. West, Wayne, MI 48184 | 2015-08-05 |
| 1992184550 | Carrie Walrath | Community Health Worker | 4234 Niagara, Wayne, MI 48184 | 2015-05-28 |
| 1588043459 | Suzanne Cutlip | Case Manager/Care Coordinator | 35425 Michigan Ave. W. Suite 1, Wayne, MI 48184 | 2015-05-26 |
| 1285021295 | Alicia Allen | Technician, Other | 35640 Michigan Avenue West, Wayne, MI 48184 | 2015-04-17 |
| 1164843850 | Julia Krivoy | Nurse Anesthetist, Certified Registered | 33155 Annapolis St., Beaumont/oakwood Hospital - Wayne, Wayne, MI 48184 | 2013-12-23 |
| 1992130553 | One Stop Pharmacy LLC | Pharmacy | 33950 Van Born Rd, Wayne, MI 48184 | 2013-09-13 |
| Find all providers in zip 48184 | ||||
| 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 |
|---|---|---|---|---|
| 1962866988 | Nj Multi-specialty Center PC | Internal Medicine | 502 Hamburg Turnpike, Suite 108, Wayne, NJ 07470 | 2016-04-06 |
| 1811222516 | Advanced Medical Specialist of North Jersey Pa | Internal Medicine | 7 Oak Hill Dr, Wayne, NJ 07470-5545 | 2009-10-14 |
| 1528233418 | Surabhi Madhwal Atreja | Internal Medicine | 246 Hamburg Tpke Ste 201, Wayne, NJ 07470-2159 | 2008-04-23 |
| 1013128602 | Wayne Cardiology, LLC | Internal Medicine | 43 Pelham Rd, Wayne, NJ 07470-2800 | 2007-05-24 |
| 1215974225 | Ajay Gupta | Internal Medicine | 401 Hamburg Tpke Ste 109, Wayne, NJ 07470-2139 | 2006-05-31 |
| 1497072193 | Wayne Cardiology,llc | Internal Medicine | 510 Hamburg Tpke, Suite 107, Wayne, NJ 07470-2025 | 2010-04-21 |
| 1023289774 | Barry Schair | Internal Medicine | 246 Hamburg Tpke, Suite 201, Wayne, NJ 07470-2156 | 2008-03-20 |
| 1457557720 | Advanced Cardiovascular Care | Internal Medicine | 342 Hamburg Tpke, Suite 208, Wayne, NJ 07470-2162 | 2007-06-25 |
| 1073672085 | Sameer Anor Azhak | Internal Medicine | 246 Hamburg Tpke, Suite 201, Wayne, NJ 07470-2156 | 2006-12-06 |
| 1063591626 | Cardiology Group Wayne General Hospital | Internal Medicine | 224 Hamburg Tpke, Wayne, NJ 07470-2111 | 2006-11-03 |
| Find all providers in WAYNE | ||||
Please comment or provide details below to improve the information on DR. MANSOOR G NAINI.
| 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.