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Organization

SOUTHFIELD MEDICAL GROUP PLLC

Active
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Organization

SOUTHFIELD MEDICAL GROUP PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RIYADH P KASMIKHA MD (PRESIDENT)
(248) 440-2185
Entity
Organization

Contact information

Practice address
28500 SOUTHFIELD RD, SUITE 200, LATHRUP VILLAGE, MI 48076-2722
(248) 440-2185
(248) 440-2189
Mailing address
28500 SOUTHFIELD RD, SUITE 200, LATHRUP VILLAGE, MI 48076-2722
(248) 440-2185
(248) 440-2189

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—

Other

Enumeration date
06/25/2006
Last updated
08/22/2020
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