# MICHIGAN ACADEMIC HOSPITALIST GROUP

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

## Provider details

- **NPI number:** 1609213032
- **Authorized official:** SUBBURMAN SIVAKUMAR M.D. (PRESIDENT / OWNER)
- **Authorized official phone:** (734) 744-5010

## Contact information

- **Practice address:** 33742 W 12 MILE RD, FARMINGTON HILLS, MI 48331-3358
- **Practice address phone:** (248) 893-6610
- **Practice address fax:** (248) 893-6746
- **Mailing address:** 33742 W 12 MILE RD, FARMINGTON HILLS, MI 48331-3358
- **Mailing address phone:** (248) 893-6610
- **Mailing address fax:** (248) 893-6746

## Taxonomy

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

## Other

- **Enumeration date:** 05/24/2013
- **Last updated:** 09/20/2021