# AMITY INTERNAL MEDICINE, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588031280
- **Authorized official:** DR. KAREN RAQUEL RUSSELL-LITTLE M.D (OWNER)
- **Authorized official phone:** (248) 721-6312

## Contact information

- **Practice address:** 31500 TELEGRAPH RD STE 240, BINGHAM FARMS, MI 48025-4315
- **Practice address phone:** (248) 792-3690
- **Practice address fax:** (248) 792-3689
- **Mailing address:** 31500 TELEGRAPH RD STE 240, BINGHAM FARMS, MI 48025-4315
- **Mailing address phone:** (248) 792-3690
- **Mailing address fax:** (248) 792-3689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2015
- **Last updated:** 01/18/2023