DR. HASAN MUKHTAR


Address: 12000 E 12 Mile Rd, Warren, MI 48093
Phone: 5865764145

DR. HASAN MUKHTAR (NPI# 1568953032) 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) 1568953032
Entity Type Individual
Full Name DR. HASAN MUKHTAR
Credential DO
Practice Address 12000 E 12 Mile Rd
Warren
MI 48093
Mailing Address 11800 E 12 Mile Rd
Warren
MI 48093-3472
Practice Telephone 5865764145
Enumeration Date 2018-05-21
Last Update Date 2018-07-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 5101024135 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 12000 E 12 MILE RD
City WARREN
State MI
Zip Code 48093

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912017336 Michael B. Krzemien Dentist 12000 E 12 Mile Rd, Warren, MI 48093-3570 2006-08-30
1083221725 Rachel Banados Occupational Therapist 12000 E 12 Mile Rd, Warren, MI 48093-3570 2020-09-27
1609404466 Erika Kristine Roust White Student in an Organized Health Care Education/Training Program 12000 E 12 Mile Rd, Warren, MI 48093-3570 2020-03-28
1083241764 Yikun Wang Student in an Organized Health Care Education/Training Program 12000 E 12 Mile Rd, Warren, MI 48093-3570 2020-03-24
1003443938 James Quinten Tuckfield Student in an Organized Health Care Education/Training Program 12000 E 12 Mile Rd, Warren, MI 48093-3570 2020-03-23
1184250128 Kevin Roumayah Student in an Organized Health Care Education/Training Program 12000 E 12 Mile Rd, Warren, MI 48093-3570 2020-03-22
1467019356 Benjamin Hans Goldman Student in an Organized Health Care Education/Training Program 12000 E 12 Mile Rd, Warren, MI 48093-3570 2019-05-25
1821655838 Laura Scott Student in an Organized Health Care Education/Training Program 12000 E 12 Mile Rd, Warren, MI 48093-3570 2019-05-24
1700443967 Rachel Faye Cohen Surgery 12000 E 12 Mile Rd, Warren, MI 48093-3570 2019-05-23
1558928788 Benjamin Martin Student in an Organized Health Care Education/Training Program 12000 E 12 Mile Rd, Warren, MI 48093-3570 2019-05-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023615986 Toleka Regina Taylor Nurse Anesthetist, Certified Registered St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 2020-10-05
1679112676 Open Heart Communities Case Management 31310 Shaw Dr, Warren, MI 48093 2019-12-23
1538715636 3 Dove Medical Supplies Durable Medical Equipment & Medical Supplies 31201 Chicago Rd S Ste C101, Warren, MI 48093 2019-08-14
1568954600 Schreiber Cardiology, P.C. Internal Medicine 8545 Common Rd Ste 150, Warren, MI 48093 2018-06-05
1730686197 Lambro Seremetis Social Worker 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 2018-04-11
1649775826 Ridge Downs Behavioral Analyst 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 2018-03-28
1144722737 Jessica Farraj Occupational Therapist 11800 E. 12 Mile Road, Warren, MI 48093 2018-02-28
1265930168 Leah Hanrahan Registered Nurse 11700 Amberle Dr., Warren, MI 48093 2018-01-25
1598271553 Pamela Marie Confer Occupational Therapist 11012 13 Mile Rd, Suite 200, Warren, MI 48093 2017-12-28
1831604347 Kate Jeanne Szczepanski Behavior Technician 31200 Chicago Rd S, Warren, MI 48093 2017-12-06
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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
1316347917 Gerald F Daneshvar Md Pllc Internal Medicine 13201 Stephens Rd Ste F, Warren, MI 48089-4340 2014-09-02
1831509413 Chandana Pande Internal Medicine 34 Moutain Blvd, Warren, NJ 07059 2014-05-05
1457798829 Manuela Belda Hamaoui Internal Medicine 34 Mountain Blvd Bldg C, Warren, NJ 07059-2640 2013-05-26
1124464268 Kelli Lynne Virgin Internal Medicine 11855 E 12 Mile Rd Ste 400, Warren, MI 48093-3471 2013-05-16
1780029074 Ez Rest Re-hab Center Inc. Internal Medicine 25932 Dequindre Rd Ste C, Warren, MI 48091-1071 2013-05-01
1043516636 Paolo Augusto Salvatore Internal Medicine 28 Helen St, Warren, NJ 07059-5817 2011-01-31
1861710154 Heather Lynn Franke Internal Medicine 11885 E 12 Mile Rd Ste 300a, Warren, MI 48093-3467 2010-05-11
1437399326 Charles Hammond Mcgowen Internal Medicine 90 Oak Tree Ln Se, Warren, OH 44484-5611 2009-03-05
1710151782 Richard M Liss Internal Medicine 6 Debby Ln, Warren, NJ 07059-5013 2008-04-21
1679751564 Hoover Medical Clinic PC Internal Medicine 31690 Hoover, Warren, MI 48093 2008-02-04
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Competitor

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City WARREN
Zip Code 48093

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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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