UNIVERSITY INTERNAL MEDICINE SPECIALISTS (NPI# 1831223346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831223346 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY INTERNAL MEDICINE SPECIALISTS |
| Practice Address |
4201 St. Antoine Suite 4c Detroit MI 48201 |
| Mailing Address |
3800 Woodward Ave. Suite 600 Detriot MI 48201 |
| Practice Telephone | 3137454525 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JILL G. MOORE (ADMINISTRATOR) |
| Authorized Official Telephone | 3137458212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| X | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| X | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM GROUP NUMBER | 0H24886 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982738290 | University Internal Medicine Specialists | Internal Medicine | 4160 John R., Suite 917, Detroit, MI 48201 | 2007-03-16 |
| 1790819001 | University Internal Medicine Specialists | Internal Medicine | 50 E. Canfield, Detroit, MI 48201 | 2007-03-16 |
| 1972724276 | University Internal Medicine Specialists | Dietitian, Registered | 50 E Canfield St, Detroit, MI 48201-1804 | 2007-05-02 |
| 1215158514 | University Internal Medicine Specialists | Physician Assistant | 4100 John R St, Detroit, MI 48201-2013 | 2007-05-02 |
| 1265566574 | University Internal Medicine Specialists | Nurse Practitioner | 4100 John R St, Detroit, MI 48201-2013 | 2007-03-16 |
| 1063546703 | University Internal Medicine Specialists | Internal Medicine | 4100 John R St, Detroit, MI 48201-2013 | 2007-03-15 |
| 1295869931 | University Internal Medicine Specialists | Internal Medicine | 3990 John R St, Detroit, MI 48201-2018 | 2007-03-15 |
| 1699796367 | University Internal Medicine Specialists | Internal Medicine | 4160 John R St, Suite 917, Detroit, MI 48201-2020 | 2006-07-21 |
| 1558386300 | University Internal Medicine Specialists | Internal Medicine | 4201 Saint Antoine St, Suite 4c, Detroit, MI 48201-2153 | 2006-07-13 |
| 1609805969 | University Internal Medicine Specialists | Internal Medicine | 4160 John R St, Suite 917, Detroit, MI 48201-2020 | 2006-06-30 |
| Street Address |
4201 ST. ANTOINE SUITE 4C |
| City | DETROIT |
| State | MI |
| Zip Code | 48201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659320737 | Bibban B. Deol | Internal Medicine | 4201 St. Antoine, Suite 5b, Detroit, MI 48201-2153 | 2006-05-08 |
| 1396368304 | Jiping Zhou | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine, University Health Center - 8c, Detroit, MI 48201 | 2020-05-26 |
| 1669095857 | Tammy Hsia | Emergency Medicine | 4201 St. Antoine, Rm 6g-uhc, Detroit, MI 48201-4820 | 2020-05-21 |
| 1902428485 | Roberto Martin Veloso | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine, Uhc 9c, Detroit, MI 48201 | 2020-05-07 |
| 1225659089 | Oluwatofehinti Oluwalademi Akande | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine, Room 2e-uhc, Detroit, MI 48201 | 2020-05-04 |
| 1952922882 | Angela Kalia | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine, 9c-umc Graduate Medical Education, Detroit, MI 48201 | 2020-05-01 |
| 1841811072 | Junaid Hashim | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine, Uhc-9c, Detroit, MI 48201 | 2020-04-28 |
| 1922628668 | Brianna Chu | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine, Uhc-9c, Detroit, MI 48201 | 2020-04-23 |
| 1275153835 | Sarah E Ottum | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine, Uhc 9c, Detroit, MI 48201 | 2020-04-23 |
| 1497375166 | Tara Maher Elia | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine, Uhc-9c, Detroit, MI 48201 | 2020-04-22 |
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| 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 Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558829333 | Mustafizur Choudhury LLC | Internal Medicine | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2019-03-11 |
| 1326572066 | Mais Abdou | Internal Medicine | 3990 John R St, Detroit, MI 48201-2018 | 2017-04-19 |
| 1407198187 | Muhammad Usman | Internal Medicine | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2013-03-20 |
| 1356653489 | Divya Gopalan Venkat | Internal Medicine | 4646 John R St, Detroit, MI 48201 | 2010-07-06 |
| 1922262484 | Sarah Jai-eun Lee | Internal Medicine | 4201 Saint Antoine St, Suite 5v, Detroit, MI 48201-2153 | 2008-07-14 |
| 1881896645 | Rana Lee Awdish | Internal Medicine | Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI 48202-2608 | 2007-06-04 |
| 1679692578 | Rose Lavender Jumah | Internal Medicine | 3901 Beaubien St, Detroit, MI 48201-2119 | 2007-03-29 |
| 1952434821 | Geneva Beatrice Tatem | Internal Medicine | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2007-03-13 |
| 1811065345 | Michael J. Simoff | Internal Medicine | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-12-01 |
| 1881795037 | Ahmad B Maarouf | Internal Medicine | 2799 W Grand Blvd, Cfp 5 Room 507, Detroit, MI 48202-2608 | 2006-09-26 |
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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.