MAZHAR MUNIR


Address: 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918
Phone: 8009686866

MAZHAR MUNIR (NPI# 1821083924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821083924
Entity Type Individual
Full Name MAZHAR MUNIR
Credential MD
Practice Address 790 Fuller Ave Ne
Grand Rapids
MI 49503-1918
Mailing Address Po Box 1969
Grand Rapids
MI 49501-1969
Practice Telephone 8009686866
Mailing Telephone 8009686866
Enumeration Date 2005-09-14
Last Update Date 2015-10-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
4301037699 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 3349549 05
BLUE CROSS BLUE SHIELD MM037699 01

Office Location

Street Address 790 FULLER AVE NE
City GRAND RAPIDS
State MI
Zip Code 49503-1918

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285233601 Jenna Lee Liszewski Social Worker 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 2020-10-19
1841898988 Amy Kruithoff Social Worker 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 2020-10-12
1043837529 Jessica Garland Social Worker 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 2020-06-30
1720604135 Mareena Lynn Terry Registered Nurse 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 2020-06-22
1669097945 Kevin Ryan Beedon Peer Specialist 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 2020-06-11
1609404805 Kimberly Eisenbarth Recreation Therapist 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 2020-04-01
1376179325 Patricia Kregg Peer Specialist 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 2020-03-20
1922630375 Erica Suzanne Wilson Counselor 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 2020-02-04
1245861574 Melissa J. Anthony Counselor 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 2020-01-27
1801426150 Andrea Jo Vanderjagt Registered Nurse 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 2020-01-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801496195 Airway Oxygen, Inc. Durable Medical Equipment & Medical Supplies Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 2020-10-27
1730707282 Adriana Molina-schmuker Counselor 901 Eastern Avenue Ne, Grand Rapids, MI 49503 2020-07-10
1477176949 Kimberly Buskirk Specialist 1131 Ionia Ava Nw, Grand Rapids, MI 49503 2020-05-19
1124647805 Jared Host Speech-Language Pathologist Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 2020-04-13
1265061378 Heather Gladfelter Student in an Organized Health Care Education/Training Program 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 2020-04-02
1194368647 Amy Jo Arends Nurse Practitioner 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 2019-10-28
1376185199 Beth Arce Occupational Therapist 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 2019-10-14
1295387256 Althea Ziolkowski Licensed Practical Nurse Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 2019-07-10
1790340719 Heather Anne Fox Occupational Therapist Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 2019-05-06
1184182883 April L Kaiserlian Social Worker 983 Spaulding Ave Ne, Ada, MI 49503 2019-03-12
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629507801 Laura Marie Quennoz Psychiatry & Neurology Pine Rest Christian Mental Health Services, 300 68th Street Se, Grand Rapids, MI 49548 2017-06-09
1124462437 Veritas Integrated Psychiatric Care, Pllc Psychiatry & Neurology 3265 Walker Ave Nw, Suite D, Grand Rapids, MI 49544-9708 2013-04-18
1982835526 Mon C Poulose Psychiatry & Neurology 3225 N Evergreen Drive Ne, Suite 301, Grand Rapids, MI 49525 2009-07-30
1972652972 Radosveta Stoyanov Psychiatry & Neurology 3225 N Evergreen Dr Ne, Grand Rapids, MI 49525-9334 2007-01-09
1679633994 Philip C. Haines Psychiatry & Neurology 1011 Parchment Dr Se, Grand Rapids, MI 49546-3664 2006-12-08
1669546537 Holly Ann Perkins Psychiatry & Neurology 2894 Thornapple River Dr Se, Grand Rapids, MI 49546-6857 2006-11-20
1801966122 Theodore Fitch Mauger Psychiatry & Neurology 1325 Thornapple River Dr Se, Grand Rapids, MI 49546-9736 2006-11-08
1154407807 Josharon Mutchler Psychiatry & Neurology 2035 28th St Se, Suite P, Grand Rapids, MI 49508 2006-10-27
1760581524 Elmer William Fowler Jr. Psychiatry & Neurology 3351 Claystone St Se, Suite 212, Grand Rapids, MI 49546-5781 2006-09-21
1578676797 Haith Place Inc Psychiatry & Neurology 2460 Burton St Se Ste 101, Grand Rapids, MI 49546-4806 2006-08-15
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Competitor

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City GRAND RAPIDS
Zip Code 49503

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Dataset Information

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.

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