Physicians Of Detroit PLLC
Internal Medicine in Southfield, MI. Organization (NPI-2).
Details
- NPI
- 1982390944
- Entity type
- Organization (NPI-2)
- Legal business name
- Physicians Of Detroit PLLC
- Organization subpart
- No
- Enumeration date
- Apr 13, 2023
- Certification date
- Apr 13, 2023
- Last updated
- Apr 13, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
17330 Northland Park Ct Ste 100Southfield, MI 48075-4319
Phone 313-348-0607 · Fax 313-447-3705
Mailing address
Po Box 36779Grosse Pointe, MI 48236-0779
Phone 313-348-0607 · Fax 313-447-3705
Authorized official
Kimberly Sullivan
President
3133480607
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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