ASFANDIAR A SHUKRI (NPI# 1255316295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255316295 |
| Entity Type | Individual |
| Full Name | ASFANDIAR A SHUKRI |
| Credential | MD |
| Practice Address |
1459 S Center Rd Burton MI 48509-1726 |
| Mailing Address |
401 S Ballenger Hwy Flint MI 48532-3638 |
| Practice Telephone | 8104960900 |
| Practice Fax Number | 8107423891 |
| Mailing Telephone | 8103421000 |
| Mailing Fax Number | 8103421590 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2008-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 4301044126 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | COMMUNITY BLUE PPO | 080D410020 | 01 |
| MI | HEALTH ADVANTAGE NETWORK | 201895 | 01 |
| MI | BCBS | AS044126 | 01 |
| MI | 4688388 | 05 | |
| MI | MCLAREN HEALTH PLAN | 201895 | 01 |
| MI | HAP | B49445 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 080D410020 | 01 |
| MI | 3497004 | 05 | |
| MI | 104172498 | 05 | |
| MI | HEALTH PLUS | 0984529 | 01 |
| MI | BLUE CARE NETWORK | 700B511870 | 01 |
| Street Address |
1459 S CENTER RD |
| City | BURTON |
| State | MI |
| Zip Code | 48509-1726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891770947 | Gerald L Larson | Family Medicine | 1459 S Center Rd, Burton, MI 48509-1726 | 2005-12-13 |
| 1700221801 | Kaela Rae White | Nurse Practitioner | 1459 S Center Rd, Burton, MI 48509-1726 | 2013-05-02 |
| 1730428913 | Mclaren Flint | Emergency Medicine | 1459 S Center Rd, Burton, MI 48509 | 2013-02-07 |
| 1881825743 | Michael John Zimmer | Family Medicine | 1459 S Center Rd, Burton, MI 48509-1726 | 2009-07-27 |
| 1659418663 | Mclaren Medical Group | Internal Medicine | 1459 S Center Rd, Burton, MI 48509-1726 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346486 | Katherine A Mieczkowski | Hearing Instrument Specialist | 235 S. Center #7, Burten, MI 48509 | 2020-04-28 |
| 1538657697 | Jenny Dudley | Nurse Practitioner | 1501 Center Rd, Burton, MI 48509 | 2018-04-24 |
| 1831618289 | Michael T Sproule | Registered Nurse | 6201 Woodmoor Dr, Burton, MI 48509 | 2017-09-18 |
| 1083159438 | William H Moon Jr Dds | Dentist | 1481 South Center Road, Burton, MI 48509 | 2016-12-21 |
| 1922419464 | David Peter Luebbert | Family Medicine | 1460 N. Center Rd., Burton, MI 48509 | 2014-05-19 |
| 1760722896 | Ambe Inc. | Pharmacy | 6009 E. Lapeer Rd, Burton, MI 48509 | 2013-02-27 |
| 1669519328 | Planned Parenthood Mid and South Michigan | Clinic/Center | G1235 S Center Rd, Unit #17, Burton, MI 48509 | 2007-01-31 |
| 1073689899 | Tender Dental Care PC | Dentist | 1024 N Genesee, Burton, MI 48509 | 2006-11-24 |
| 1043385701 | William H Moon Jr. | Dentist | 1481 S Center Rd, Burton, MI 48509 | 2006-11-21 |
| 1679669485 | Todd William Lee | Optometrist | 5323 E. Court St. N., Burton, MI 48509 | 2006-10-05 |
| Find all providers in zip 48509 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790174076 | Burton Urgent Care Pllc | General Practice | 1501 S Center Rd Bldg A, Burton, MI 48509-1731 | 2015-01-09 |
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| 1215422555 | The Natural Momma Me Initiative | General Practice | 11000 W Mcnichols Rd Ste 212, Detroit, MI 48221-2389 | 2018-06-28 |
| 1881183028 | Silverstone Medical Group, Pllc | General Practice | 805 Oakwood Dr Ste 111, Rochester, MI 48307-1359 | 2018-05-03 |
| 1245739903 | Breanna Lee Brookens | General Practice | 1531 Barnard St, Saginaw, MI 48602-4902 | 2018-02-08 |
| Find all providers with the same taxonomy | ||||
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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.