| Southfield Medical Group Pllc | |
|
28500 Southfield Rd Suite 200 Lathrup Village MI 48076-2722 | |
| (248) 440-2185 | |
| (248) 440-2189 |
| Full Name | Southfield Medical Group Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 28500 Southfield Rd, Lathrup Village, Michigan |
| Authorized Official Name and Position | Riyadh P Kasmikha (PRESIDENT) |
| Authorized Official Contact | 2484402185 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southfield Medical Group Pllc 28500 Southfield Rd Suite 200 Lathrup Village MI 48076-2722 Ph: (248) 440-2185 | Southfield Medical Group Pllc 28500 Southfield Rd Suite 200 Lathrup Village MI 48076-2722 Ph: (248) 440-2185 |
| NPI Number | 1881620235 |
|---|---|
| Provider Enumeration Date | 06/25/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7911901780 |
|---|---|
| Medicare Enrollment ID | O20060908000475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881620235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Riyadh P Kasmikha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013980531 PECOS PAC ID: 0143214320 Enrollment ID: I20040412000565 |
| Provider Name | Ayad S Jazrawi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760605166 PECOS PAC ID: 6406012129 Enrollment ID: I20120725000366 |
Raveend Thabolingam Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18161 W 12 Mile Rd, Suite 2, Lathrup Village, MI 48076 Phone: 248-552-1200 Fax: 248-552-1201 | |
Muksi, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 26411 Southfield Rd, Lathrup Village, MI 48076 Phone: 248-552-8195 Fax: 248-552-8537 | |
Riyadh P. Kasmikha, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 28500 Southfield Rd, Suite 200, Lathrup Village, MI 48076 Phone: 248-440-2185 Fax: 248-440-2189 | |
Dr Anderson And Associates P. C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26237 Southfield Rd, Lathrup Village, MI 48076 Phone: 248-395-6201 | |
Maximum Rehabilitation & Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18211 W 12 Mile Rd Ste 2w, Lathrup Village, MI 48076 Phone: 248-629-0904 Fax: 248-629-4010 | |
Harris House Calls M.d., Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18849 Middlesex Ave, Lathrup Village, MI 48076 Phone: 248-310-1175 | |
Southeast Michigan Medical Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18451 W 12 Mile Rd, Ste 200, Lathrup Village, MI 48076 Phone: 248-827-7612 Fax: 248-827-7615 |