PROVIDENCE PARK INTERNAL MEDICINE PC


Address: 26850 Providence Pkwy, Suite 450, Novi, MI 48374-1213
Phone: 2488914074

PROVIDENCE PARK INTERNAL MEDICINE PC (NPI# 1487052619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487052619
Entity Type Organization
Organization Name PROVIDENCE PARK INTERNAL MEDICINE PC
Practice Address 26850 Providence Pkwy
Suite 450
Novi
MI 48374-1213
Practice Telephone 2488914074
Mailing Telephone 2488914074
Enumeration Date 2014-12-22
Last Update Date 2015-01-07
Authorized Official Name SUHA A QASIM (PRESIDENT)
Authorized Official Telephone 2488914074
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 4301089716 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 26850 PROVIDENCE PKWY
SUITE 450
City NOVI
State MI
Zip Code 48374-1213

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457354953 Lara Azzi Pediatrics 26850 Providence Pkwy, Suite 455, Novi, MI 48374-1213 2005-05-27
1578096483 Jordyn Havens Counselor 26850 Providence Pkwy, Ste 410, Novi, MI 48374-1213 2017-04-07
1740723659 Carmela Wilder Social Worker 26850 Providence Pkwy, Suite 205, Novi, MI 48374-1213 2016-11-24
1518413210 Adam Mcclafferty Physical Therapist 26850 Providence Pkwy, Suite 365, Novi, MI 48374-1213 2016-09-01
1336591973 Jessica Wentworth Nurse Practitioner 26850 Providence Pkwy, Novi, MI 48374-1213 2016-07-07
1407233745 Kha H. Ngo, D.o., P.l.l.c. Internal Medicine 26850 Providence Pkwy, Ste 350, Novi, MI 48374-1213 2015-05-06
1629455423 Serge A. Sorser, M.d., P.l.l.c. Internal Medicine 26850 Providence Pkwy, Suite 350, Novi, MI 48374-1213 2015-04-30
1598161564 Paul James Constantino Podiatrist 26850 Providence Pkwy, Suite 502, Novi, MI 48374-1213 2014-11-18
1306269436 Northwest Eye Physicians, P.C. Eyewear Supplier (Equipment, not the service) 26850 Providence Pkwy, Suite 440, Novi, MI 48374-1213 2014-01-24
1306274493 Elana Bodzin Physical Therapist 26850 Providence Pkwy, Suite 365, Novi, MI 48374-1213 2013-10-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902323884 Jhansi Navuluri Physical Therapist 27579 Etrada Lane, Novi, MI 48374 2017-08-23
1609306422 James Vanderhaeghen Foster Care Agency 24375 Homestead Ct, Novi, MI 48374 2017-06-14
1558810622 Iryna Chaykivska Nurse Anesthetist, Certified Registered 47601 Grand River Avenue, Novi, MI 48374 2016-09-29
1477937944 Joseph Smola Chiropractor 48000 Grand River Ave, Novi, MI 48374 2015-07-15
1881005114 Alpha Medical Services PC Internal Medicine 26131, Sunbury Ct, Novi, MI 48374 2014-05-08
1043565443 Jason J Rizqallah Surgery 47601 Grand River Ave # B136, Novi, MI 48374 2012-07-21
1780992628 Khyati Patel Internal Medicine 26850 Providence Pkwy Ste 420, Novi, MI 48374 2010-09-14
1891963799 Luann Marie Redmond Social Worker 50598 Montana, Novi, MI 48374 2008-02-13
1427249424 Ajay V Raman Anesthesiology 24875 Novi Road #454, Novi, MI 48374 2007-08-05
1003948233 Sam's Club Optical Technician/Technologist 27300 Wixon Road, Novi, MI 48374 2007-03-12
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336625540 Vmd Primary Providers Eastern Michigan, PC Internal Medicine 27275 Haggerty Rd Ste 500, Novi, MI 48377-3635 2018-07-11
1528453305 Jalal Georges Najem Internal Medicine 44760 Huntington Dr, Novi, MI 48375-2220 2015-03-30
1558775700 Justin Di Rezze Internal Medicine 41850 W 11 Mile Rd Ste 207, Novi, MI 48375-1820 2014-06-16
1265850242 Arun Kapur Internal Medicine 26850 Providence Pkwy Ste 505, Novi, MI 48374-1267 2014-04-07
1710312798 All Patients Care Pllc Internal Medicine 31208 Beck Rd, Novi, MI 48377-1022 2013-09-09
1982970448 Raveen Singh Rai Internal Medicine Po Box 247, Novi, MI 48376-0247 2012-03-29
1134414212 Comprehensive Medical Practice PC Internal Medicine 24609 Cavendish Ave E, Novi, MI 48375-2362 2011-06-16
1437468063 Progressive Primary Care PC Internal Medicine 24559 Perceval Ln, Novi, MI 48375-2355 2010-09-30
1780992628 Khyati Patel Internal Medicine 26850 Providence Pkwy Ste 420, Novi, MI 48374 2010-09-14
1053627570 Mohammad Alhaji Internal Medicine 39475 Lewis Dr Ste 200, Novi, MI 48377-2980 2010-08-21
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Competitor

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City NOVI
Zip Code 48374

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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