Southfield Medical Group Pllc
NPI #1881620235 in Lathrup Village, Michigan
Provider Information
- NPI Number
- 1881620235
- Entity Type
- Organization
- Organization Name
- Southfield Medical Group Pllc
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jun 25, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 28500 SOUTHFIELD RD
- Address 2
- SUITE 200
- City
- Lathrup Village
- State
- Michigan
- ZIP Code
- 48076-2722
- Phone
- (248) 440-2185
Authorized Official
- Name
- RIYADH P KASMIKHA, MD
- Title
- PRESIDENT
- Phone
- (248) 440-2185
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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