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GREAT LAKES PHYSICIANS OF REDFORD,P.L.L.C.
NPI 1063682730
Internal Medicine in Redford, MI

Active since March 09, 2008
25321 5 MILE RD, SUITE # 1, REDFORD, MI 48239(313) 538-1800(313) 538-9082 Get Directions Write a Review

NPPES record last updated: March 9, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Great Lakes Physicians Of Redford,p.l.l.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT LAKES PHYSICIANS OF REDFORD,P.L.L.C. (NPI 1063682730) is a healthcare organization registered as an internal medicine in Redford, Michigan and active in the NPI registry since March 2008. The organization lists Mustak Y Vaid, Solo Owner, as its authorized official.

NPPES Registry Identity

NPI1063682730
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGREAT LAKES PHYSICIANS OF REDFORD,P.L.L.C.
Location Address25321 5 MILE RD, SUITE # 1Redford, MI 48239-3700
Mailing Address23300 Providence Dr, Suite # 104Southfield, MI 48075-3652 · (248) 996-8777 · Fax (248) 996-8778
Phone(313) 538-1800
Fax(313) 538-9082
Organization SubpartNo
Authorized OfficialMustak Y VaidSolo Owner · (248) 996-8777
Enumeration DateMarch 9, 2008
✔ NPI 1063682730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 1630863
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
25321 5 MILE RD, Redford, MI 48239
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Other Identifiers 1

Medicare UPINH56937MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AKHTER BANO RPT/DPT
Clinic/Center (Physical Therapy)
25321 5 MILE RD, SUITE 1
REDFORD, MI 48239
Wayne County (313) 387-5119
PERPETUAL BLISS MIHP LLC
Public Health or Welfare
25321 5 MILE RD, SUITE 8
REDFORD, MI 48239
Wayne County (248) 722-4860
SENIOR HOME MEDICAL EQUIPMENT & SUPPLIES LLC
Durable Medical Equipment & Medical Supplies
25321 5 MILE RD, STE 8
REDFORD, MI 48239
Wayne County (313) 986-2773
BEST CARE HOME HEALTHCARE LLC
Home Health
25321 5 MILE RD
REDFORD, MI 48239
Wayne County (734) 752-8308
WELL-POINT REHAB LLC
Clinic/Center (Physical Therapy)
25321 5 MILE RD, STE 2
REDFORD, MI 48239
Wayne County (313) 387-4119
U S HEALTHCARE MI INC
Internal Medicine
25321 5 MILE RD, STE 7
REDFORD, MI 48239
Wayne County (313) 537-9200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Lakes Physicians Of Redford,p.L.L.C.'s NPI number?

The NPI number for Great Lakes Physicians Of Redford,p.L.L.C. is 1063682730. It was assigned to this organization in the NPPES registry on March 9, 2008.

Where is Great Lakes Physicians Of Redford,p.L.L.C. located?

Great Lakes Physicians Of Redford,p.L.L.C. is located at 25321 5 Mile Rd Suite # 1, Redford, MI 48239. The listed phone number is (313) 538-1800.

What is Great Lakes Physicians Of Redford,p.L.L.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Great Lakes Physicians Of Redford,p.L.L.C. was last updated on March 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.