AYESHA FATIMA (NPI# 1235357708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235357708 |
Entity Type | Individual |
Full Name | AYESHA FATIMA |
Practice Address |
3535 W 13 Mile Rd Royal Oak MI 48073-6770 |
Practice Telephone | 2485510311 |
Mailing Telephone | 2485510311 |
Enumeration Date | 2007-04-23 |
Last Update Date | 2020-10-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | MD12288 | RI | Allopathic & Osteopathic Physicians |
Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
4301079789 | MI | Allopathic & Osteopathic Physicians |
N | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
MD12288 | RI | Allopathic & Osteopathic Physicians |
Street Address |
3535 W 13 MILE RD |
City | ROYAL OAK |
State | MI |
Zip Code | 48073-6770 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750376877 | M Bassem Hosein Dekelbab | Pediatrics | 3535 W 13 Mile Rd, 707, Royal Oak, MI 48073-6770 | 2005-09-14 |
1639788029 | Moyosoreoluwa Morenike Laditan | Internal Medicine | 3535 W 13 Mile Rd, Medical Office Building, Suite Ll-35, Royal Oak, MI 48073-6770 | 2020-07-30 |
1952928780 | Julie Katia Morin-major | Pediatrics | 3535 W 13 Mile Rd, Royal Oak, MI 48073-6770 | 2020-06-27 |
1336763382 | Reem Wassef | Pediatrics | 3535 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-05 |
1942824271 | Ji Won Lee | Pediatrics | 3535 W 13 Mile Rd, Royal Oak, MI 48073-6770 | 2020-06-02 |
1285257030 | Michael Maiden | Pediatrics | 3535 W 13 Mile Rd, Royal Oak, MI 48073-6770 | 2020-05-27 |
1821611922 | Maria Kathryn Souphis | Pediatrics | 3535 W 13 Mile Rd, Royal Oak, MI 48073-6770 | 2020-05-22 |
1710509393 | Yoshiko Nito | Pediatrics | 3535 W 13 Mile Rd, Royal Oak, MI 48073-6770 | 2020-05-18 |
1699397547 | Ashbina Pokharel | Internal Medicine | 3535 W 13 Mile Rd, Royal Oak, MI 48073-6770 | 2020-05-14 |
1720609746 | Geoffrey M Saham Pllc | Internal Medicine | 3535 W 13 Mile Rd, Royal Oak, MI 48073-6770 | 2020-04-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
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Taxonomy Code | 2080P0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Gastroenterology |
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336405554 | Jennifer B Mitsuya | Pediatrics | 3535 W 13 Mile Rd Ste 707, Royal Oak, MI 48073 | 2012-04-02 |
1346407525 | Mohammad Osman | Pediatrics | 3535 W 13 Mile Rd Ste 707, Beaumont Children's Hospital Pediatric Gastroenterology, Royal Oak, MI 48073-6770 | 2008-05-16 |
1528028651 | Souheil Gebara | Pediatrics | 3535 W 13 Mile Rd, Ste. 707, Royal Oak, MI 48073-6710 | 2006-03-24 |
1114987195 | Robert M Truding | Pediatrics | 3535 W 13 Mile Rd, Ste 707, Royal Oak, MI 48073-6769 | 2006-03-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154854685 | Digestive Care of Lansing Plc | Pediatrics | 503 Mall Ct # 145, Lansing, MI 48912-5200 | 2017-04-11 |
1215037569 | Janice B Heikenen | Pediatrics | 6287 Lagoon Lane, Box 439, Mohawk, MI 49950 | 2006-09-25 |
1881603975 | Vasundhara Tolia | Pediatrics | 4304 Copper Cliff, Bloomfield Hills, MI 48302-1922 | 2006-08-07 |
1538194055 | Safwan Malas | Pediatrics | 1200 E Michigan Ave Ste 410, Lansing, MI 48912-1850 | 2006-07-12 |
1629048699 | Deborah L Cloney | Pediatrics | 35 Michigan Ne, Suite 4150, Grand Rapids, MI 49503 | 2006-01-24 |
1841791217 | Ashley Joanne Ross | Pediatrics | 601 John St Ste M-351, Kalamazoo, MI 49007-5358 | 2018-02-21 |
1083146906 | S Madani Md PC | Pediatrics | 4727 Saint Antoine St, Suite 402, Detroit, MI 48201-1461 | 2017-03-30 |
1497165153 | Salman S. Salman | Pediatrics | 3901 Beaubien, Detroit, MI 48201-2119 | 2014-05-04 |
1083959522 | Promedica Central Physicians LLC | Pediatrics | 730 N Macomb St, Suite 300, Monroe, MI 48162-2900 | 2012-12-11 |
1457665671 | Sanjay Kumar | Pediatrics | 22201 Moross Road, Suite 270, Pbii, Detroit, MI 48236 | 2010-07-29 |
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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.