{"npi":"1275532905","type":"NPI-2","status":"active","name":{"display":"Ali Hasan Mahmood MD Plc","other":[],"organization_name":"ALI HASAN MAHMOOD MD PLC","authorised_official":"Ali Mahmood"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":"MI","license":"GP068359"},{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"MI","license":"AM056507"}]},"addresses":[{"purpose":"LOCATION","street_1":"13031 CONANT ST","city":"DETROIT","state":"MI","postal_code":"482122361","country_code":"US","phone":"3138935490","fax":"3138935495"},{"purpose":"MAILING","street_1":"13031 CONANT ST","city":"DETROIT","state":"MI","postal_code":"482122361","country_code":"US","phone":"3138935490","fax":"3135610277"}],"license":{"state":"MI","number":"AM056507"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1275532905","state":"MI","issuer":null},{"type_code":"01","label":"Other","value":"615861800","state":"MI","issuer":"DEPT OF LABOR"},{"type_code":"01","label":"Other","value":"700H215230","state":"MI","issuer":"BC"},{"type_code":"05","label":"Medicaid","value":"4283129","state":"MI","issuer":null},{"type_code":"01","label":"Other","value":"DA2203","state":"MI","issuer":"RAILROAD MEDICARE"},{"type_code":"01","label":"Other","value":"700H215230","state":"MI","issuer":"BCN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20041117000378","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MI","pac_id":"0840254017"}]},"enumeration_date":"2005-07-15","last_updated":"2024-11-07","_meta":{"source":"NPPES","snapshot_date":"2024-11-07","doc_url":"https://findmynpi.com/api"}}