Organization
LIFELINE MEDICAL GROUP PC
Active
Organization
LIFELINE MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAVNEET KUMAR MD (AUTHORIZED OFFICER)
(248) 321-3121
Entity
Organization
Contact information
Practice address
3901 HIGHLAND RD STE G, WATERFORD, MI 48328-2162
(248) 321-3121
(248) 692-0333
Mailing address
3901 HIGHLAND RD STE G, WATERFORD, MI 48328-2162
(248) 321-3121
(248) 692-0333
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301096048
STATE LICENSE
MI
Enumeration date
07/25/2025
Last updated
05/08/2026
Update your record
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