{"npi":"1104899269","type":"NPI-1","status":"active","name":{"display":"Dr. George Ghanem MD","other":[],"first":"GEORGE","last":"GHANEM","middle":"B","credential":"MD"},"specialty":{"primary_taxonomy":"207RC0000X","primary_taxonomy_description":"Cardiovascular Disease","slug":"cardiology","schema_org_specialty":"Cardiovascular","all":[{"code":"207RC0000X","description":"Cardiovascular Disease","primary":true,"state":"MI","license":"4301036503"}]},"addresses":[{"purpose":"LOCATION","street_1":"24211 LITTLE MACK AVE","city":"ST CLAIR SHORES","state":"MI","postal_code":"480801190","country_code":"US","phone":"5864980440","fax":"5864980401"},{"purpose":"MAILING","street_1":"24211 LITTLE MACK AVE","city":"ST CLAIR SHORES","state":"MI","postal_code":"480801190","country_code":"US","phone":"5864980440","fax":"5864980401"}],"license":{"state":"MI","number":"4301036503"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1925255","state":"MI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20080909000527","type_code":"14-06","type_desc":"PRACTITIONER - CARDIOVASCULAR DISEASE (CARDIOLOGY)","state":"MI","pac_id":"6103714605"}]},"enumeration_date":"2006-02-09","last_updated":"2020-12-01","_meta":{"source":"NPPES","snapshot_date":"2020-12-01","doc_url":"https://findmynpi.com/api"}}