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SOUTHFIELD MEDICAL GROUP PLLC NPI 1881620235


NPI Information

NPI: 1881620235
Provider Name: SOUTHFIELD MEDICAL GROUP PLLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 23D1015839

Address:
28500 SOUTHFIELD RD
SUITE 200
LATHRUP VILLAGE, MI
ZIP 48076
Phone: (248) 440-2185
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SOUTHFIELD MEDICAL GROUP PLLC is an internal medicine in Lathrup Village, MI. The provider is 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. SOUTHFIELD MEDICAL GROUP PLLC NPI is 1881620235. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

28500 SOUTHFIELD RD
SUITE 200
LATHRUP VILLAGE, MI
ZIP 48076-722
Phone: (248) 440-2185
Fax: (248) 440-2189

The provider's authorized official is Riyadh P Kasmikha .
The authorized official title is President and has the following contact phone number (248) 440-2185.

The CLIA number assigned to this NPI record is 23D1015839 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.