NIMROD BLANK


Address: 4201 Saint Antoine St Ste 5a, Detroit, MI 48201-2153
Phone: 3137454525

NIMROD BLANK (NPI# 1255709218) 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) 1255709218
Entity Type Individual
Full Name NIMROD BLANK
Credential M.D.
Practice Address 4201 Saint Antoine St Ste 5a
Detroit
MI 48201-2153
Mailing Address 1650 E Maple Rd
Troy
MI 48083
Practice Telephone 3137454525
Practice Fax Number 3139930085
Enumeration Date 2015-09-08
Last Update Date 2018-04-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
4301108677 MI Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 4201 SAINT ANTOINE ST STE 5A
City DETROIT
State MI
Zip Code 48201-2153

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124012752 Zaher Msallaty Internal Medicine 4201 Saint Antoine St Ste 5a, Detroit, MI 48201-2153 2005-09-09
1417415498 Sheeja Xavier Nurse Practitioner 4201 Saint Antoine St Ste 5a, Detroit, MI 48201-2153 2019-03-08
1295099893 Khaled Alshabani Internal Medicine 4201 Saint Antoine St Ste 5a, Detroit, MI 48201-2153 2012-06-27
1710274600 Asim Kagzi Internal Medicine 4201 Saint Antoine St Ste 5a, Detroit, MI 48201-2153 2011-06-29
1679513543 Randy Alan Lieberman Internal Medicine 4201 Saint Antoine St Ste 5a, Detroit, MI 48201-2153 2006-06-07
1124065628 Renee L Dwaihy Internal Medicine 4201 Saint Antoine St Ste 5a, Detroit, MI 48201 2006-06-01

Providers in the same zip code

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
Find all providers in zip 48201

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
Find all providers in DETROIT

Competitor

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City DETROIT
Zip Code 48201

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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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