Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mumtaz Alam Memon, MD

Individual provider Cardiovascular Disease Physician · NPI 1215904255

Mumtaz Alam Memon, MD is a Cardiovascular Disease (Cardiology) in Jackson, Michigan. Qualified in 1982, 44 years ago. Practices with W. A. Foote Memorial Hospital, Inc, a 478-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
44
Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

309 Page Ave Ste 203
Jackson, MI 49201-2419
Phone: (517) 205-1234
Fax: (172) 051-0505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 4301075706 (MI)

Record details

NPI number1215904255
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 8, 2006
Last updated in NPPESFebruary 15, 2023
Certification dateFebruary 15, 2023
Mailing address309 Page Ave, Jackson, MI 49201-2419

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice W. A. Foote Memorial Hospital, Inc. — 478 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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