ZAKWAN MAHJOUB (NPI# 1316916729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316916729 |
| Entity Type | Individual |
| Full Name | ZAKWAN MAHJOUB |
| Credential | M.D. |
| Practice Address |
1349 S Rochester Rd Suite 105 Rochester Hills MI 48307-3150 |
| Mailing Address |
811 South Blvd E Ste 105 Rochester Hills MI 48307-5359 |
| Practice Telephone | 2486526336 |
| Practice Fax Number | 2486526339 |
| Mailing Telephone | 2487101000 |
| Mailing Fax Number | 2487101011 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2020-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
4301067249 | MI | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
4301067249 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 104254136 | 05 | |
| MI | BCBSM | 700F37550 | 01 |
| MI | HAP | F32288 | 01 |
| Street Address |
1349 S ROCHESTER RD SUITE 105 |
| City | ROCHESTER HILLS |
| State | MI |
| Zip Code | 48307-3150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629079728 | Susan Ann Lagrou | Pediatrics | 1349 S Rochester Rd, Ste 215, Rochester Hills, MI 48307-3150 | 2005-08-10 |
| 1538693734 | Michelle Laferle | Counselor | 1349 S Rochester Rd, Suite 220, Rochester Hills, MI 48307-3150 | 2017-04-13 |
| 1306377320 | Rochester Primary Care Holdings | Preferred Provider Organization | 1349 S Rochester Rd, Suite 100, Rochester Hills, MI 48307-3150 | 2017-03-22 |
| 1518411248 | Comprehensive Hand & Rehabilitation, LLC | Occupational Therapist | 1349 S Rochester Rd, Suite 120, Rochester Hills, MI 48307-3150 | 2016-08-10 |
| 1750749974 | Zakwan Mahjoub | Internal Medicine | 1349 S Rochester Rd, Suite 105, Rochester Hills, MI 48307-3150 | 2016-02-02 |
| 1619378650 | Shannon Fowler | Psychologist | 1349 S Rochester Rd, Suite 220, Rochester Hills, MI 48307-3150 | 2014-09-09 |
| 1255746087 | Osi, LLC | Clinic/Center | 1349 S Rochester Rd, Suite 250, Rochester Hills, MI 48307-3150 | 2014-07-01 |
| 1164846929 | Nelli Medical Services, P.C. | Internal Medicine | 1349 S Rochester Rd, Suite 115, Rochester Hills, MI 48307-3150 | 2014-02-13 |
| 1700200276 | Leah Schiller | Physician Assistant | 1349 S Rochester Rd, Suite 125, Rochester Hills, MI 48307 | 2014-02-05 |
| 1922440304 | Ellen Robyn Konsol | Occupational Therapist | 1349 S Rochester Rd, Ste 215, Rochester Hills, MI 48307-3150 | 2013-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083238851 | Martin Dukaj | Student in an Organized Health Care Education/Training Program | 1101 Walton Blvd, Rochester Hills, MI 48307 | 2020-06-08 |
| 1073151973 | Cynthia Lynn Olekszyk | Dietitian, Registered | 645 Barclay Circle, Rochester Hills, MI 48307 | 2019-12-11 |
| 1326502428 | Jessica Delia | Nurse Practitioner | 1701 E South Boulevard, Suite 290, Rochester Hills, MI 48307 | 2019-01-23 |
| 1528530037 | Kelie Friday | Physical Therapist | 312 Rochester Hills, Dearborn, MI 48307 | 2018-12-21 |
| 1538635883 | Julie Latarewicz | Physical Therapist | Ascension Providence Rochester Hospital, 1101 West University Drive, Rochester, MI 48307 | 2018-10-15 |
| 1891270757 | Leah Marx | Social Worker | 3950 Rochester Rd, Ste 2250, Rochester Hills, MI 48307 | 2018-09-26 |
| 1598256729 | Frederick Alan Bittner | Student in an Organized Health Care Education/Training Program | 1101 W. University Drive, 3 North, Rochester, MI 48307 | 2018-05-23 |
| 1508356346 | Ankita Aggarwal | Student in an Organized Health Care Education/Training Program | Wsu/ascension Crittenton Hospital, 1101 W. University Drive, Rochester, MI 48307 | 2018-05-17 |
| 1619478195 | Michelle Nuccio | Occupational Therapist | 1555 E South Blvd, Rochester Hills, MI 48307 | 2018-02-21 |
| 1265932024 | Stacy Dietlin Linn | Physical Therapist | 1555 E. South Blvd, Suite 120, Rochester Hills, MI 48307 | 2018-02-19 |
| Find all providers in zip 48307 | ||||
| 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 |
|---|---|---|---|---|
| 1144632308 | Cardiovascular Tele Diagnostics PC | Internal Medicine | 3057 Fantail Ct, Rochester Hills, MI 48309-4296 | 2014-05-22 |
| 1457437469 | John A. Sallach | Internal Medicine | 1701 South Boulevard E, Suite 390, Rochester Hills, MI 48307-6117 | 2006-10-31 |
| 1083649545 | Chandra S Reddy | Internal Medicine | 1854 W Auburn Rd Ste 100b, Rochester Hills, MI 48309-3868 | 2006-07-12 |
| 1508807645 | David G Schaefer | Internal Medicine | 95 Chalmers Dr, Rochester Hills, MI 48309-1843 | 2006-06-09 |
| 1619937885 | Rajendra Prasad | Internal Medicine | 645 Barclay Cir, Rochester Hills, MI 48307-5804 | 2006-03-23 |
| 1245233352 | Martin F Mcgough | Internal Medicine | 1701 South Blvd E, Ste 390, Rochester Hills, MI 48307-6117 | 2005-05-23 |
| 1750749974 | Zakwan Mahjoub | Internal Medicine | 1349 S Rochester Rd, Suite 105, Rochester Hills, MI 48307-3150 | 2016-02-02 |
| 1578907994 | A Bahjat Shahbandar Md PC | Internal Medicine | 1349 S Rochester Rd, Suite 105, Rochester Hills, MI 48307-3150 | 2013-04-29 |
| 1699780270 | Rochester Cardiology Associates, PC | Internal Medicine | 455 S Livernois Rd, Suite B23, Rochester Hills, MI 48307-2578 | 2006-07-30 |
| 1043257280 | Academic Cardiology Associates, PC | Internal Medicine | 1701 South Blvd E, Suite 390, Rochester Hills, MI 48307-6122 | 2006-05-31 |
| Find all providers in ROCHESTER HILLS | ||||
| City | ROCHESTER HILLS |
| Zip Code | 48307 |
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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.