Individual
DR. ARTI MADHAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
21816 W 11 MILE RD, SOUTHFIELD, MI 48076-3724
(248) 375-4040
(248) 375-4044
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(305) 628-6117
(305) 393-5989
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301069572
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225218738
—
MI
05
—
1457322794
—
MI
01
—
P52800001
MEDICARE
MI
Enumeration date
01/26/2006
Last updated
01/06/2026
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