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SANDRA L. ELLIS, MD, PLLC
NPI 1407054752
Internal Medicine in Southfield, MI

Active since July 09, 2007
19034 W 10 MILE RD, SOUTHFIELD, MI 48075(248) 353-2600(248) 353-1367 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sandra L. Ellis, Md, Pllc NPPES

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

SANDRA L. ELLIS, MD, PLLC (NPI 1407054752) is a healthcare organization registered as an internal medicine in Southfield, Michigan and active in the NPI registry since July 2007. The organization lists Sandra Lynn Ellis, President, as its authorized official.

NPPES Registry Identity

NPI1407054752
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSANDRA L. ELLIS, MD, PLLC
Location Address19034 W 10 MILE RDSouthfield, MI 48075-2401
Mailing Address6632 Telegraph Rd, Ste 318Bloomfield Hills, MI 48301-3012 · (248) 353-2600 · Fax (248) 353-1367
Phone(248) 353-2600
Fax(248) 353-1367
Organization SubpartNo
Authorized OfficialSandra Lynn EllisPresident · (248) 353-2600
Enumeration DateJuly 9, 2007
Last NPPES UpdateApril 20, 2008
✔ NPI 1407054752 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 · SE070800
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.
19034 W 10 MILE RD, Southfield, MI 48075
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Other Identifiers 2

Medicare UPING36441
Medicare PIN0M80600MI

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 2

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

SANDRA L ELLIS MD PLLC
Internal Medicine
19034 W 10 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 353-2600
AKIRA MONAY GODFREY LMT
Massage Therapist
19034 W 10 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 327-3649

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 Sandra L. Ellis, MD, PLLC's NPI number?

The NPI number for Sandra L. Ellis, MD, PLLC is 1407054752. It was assigned to this organization in the NPPES registry on July 9, 2007.

Where is Sandra L. Ellis, MD, PLLC located?

Sandra L. Ellis, MD, PLLC is located at 19034 W 10 Mile Rd, Southfield, MI 48075. The listed phone number is (248) 353-2600.

What is Sandra L. Ellis, MD, PLLC'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 Sandra L. Ellis, MD, PLLC was last updated on April 20, 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.