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RENOVIS HEALTH
NPI 1205443504
Internal Medicine in Southfield, MI

Active since September 30, 2020
26206 W 12 MILE RD STE 302, SOUTHFIELD, MI 48034(424) 303-0544 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 13, 2023, Aug 10, 2022, Sep 30, 2020 (3 updates tracked since 2020).

About Renovis Health NPPES

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

RENOVIS HEALTH (NPI 1205443504) is a healthcare organization registered as an internal medicine in Southfield, Michigan and active in the NPI registry since September 2020. The organization lists Olisaeloka Dallah, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1205443504
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameRENOVIS HEALTH LLC
Location Address26206 W 12 MILE RD STE 302Southfield, MI 48034-8501
Mailing Address29155 Northwestern Hwy # 515Southfield, MI 48034-1011 · (800) 960-1463
Phone(424) 303-0544
Organization SubpartNo
Authorized OfficialOlisaeloka DallahChief Administrative Officer · (248) 470-7318
Enumeration DateSeptember 30, 2020
Last NPPES UpdateMarch 13, 20233 updates tracked since enumeration
NPPES CertifiedMarch 13, 2023
✔ NPI 1205443504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X
Also ListedHome HealthTaxonomy 251E00000X
Also ListedHealth Maintenance OrganizationTaxonomy 302R00000X
26206 W 12 MILE RD STE 302, Southfield, MI 48034
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Other Names 1

Doing Business AsRenovis Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

THERESA OWUSU-ANSAH NP
Nurse Practitioner (Family)
26206 W 12 MILE RD STE 302
SOUTHFIELD, MI 48034
Oakland County (248) 440-6090
SOUND HEALTH
Internal Medicine
26206 W 12 MILE RD STE 302
SOUTHFIELD, MI 48034
Oakland County (248) 440-6090

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 Renovis Health LLC's NPI number?

The NPI number for Renovis Health LLC is 1205443504. It was assigned to this organization in the NPPES registry on September 30, 2020. The provider is doing business as Renovis Health.

Where is Renovis Health LLC located?

Renovis Health LLC is located at 26206 W 12 Mile Rd Ste 302, Southfield, MI 48034. The listed phone number is (424) 303-0544.

What is Renovis Health LLC'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 Renovis Health LLC was last updated on March 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.