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SOUTHEAST MICHIGAN MEDICAL ASSOCIATES PC
NPI 1417001660
Internal Medicine in Lathrup Village, MI

Active since January 23, 2007
18451 W 12 MILE RD, STE 200, LATHRUP VILLAGE, MI 48076(248) 827-7612(248) 827-7615 Get Directions Write a Review

NPPES record last updated: February 21, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Southeast Michigan Medical Associates Pc NPPES

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

SOUTHEAST MICHIGAN MEDICAL ASSOCIATES PC (NPI 1417001660) is a healthcare organization registered as an internal medicine in Lathrup Village, Michigan and active in the NPI registry since January 2007. The organization lists Ashok Kumar Bansal, President, as its authorized official.

NPPES Registry Identity

NPI1417001660
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTHEAST MICHIGAN MEDICAL ASSOCIATES PC
Location Address18451 W 12 MILE RD, STE 200Lathrup Village, MI 48076-2644
Mailing Address18451 W 12 Mile Rd, Ste 200Lathrup Village, MI 48076-2644 · (248) 827-7612 · Fax (248) 827-7615
Phone(248) 827-7612
Fax(248) 827-7615
Organization SubpartNo
Authorized OfficialAshok Kumar BansalPresident · (248) 827-7612
Enumeration DateJanuary 23, 2007
Last NPPES UpdateFebruary 21, 2017
✔ NPI 1417001660 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 · 4301057441
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.
18451 W 12 MILE RD, Lathrup Village, MI 48076
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Other Identifiers 5

Medicaid3150549MI
Other1106306332MI · Bcbsm
Medicare PIN0N85050MI
Medicare UPINF63583MI
Medicare PIN0N83280MI

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 Southeast Michigan Medical Associates PC's NPI number?

The NPI number for Southeast Michigan Medical Associates PC is 1417001660. It was assigned to this organization in the NPPES registry on January 23, 2007.

Where is Southeast Michigan Medical Associates PC located?

Southeast Michigan Medical Associates PC is located at 18451 W 12 Mile Rd Ste 200, Lathrup Village, MI 48076. The listed phone number is (248) 827-7612.

What is Southeast Michigan Medical Associates PC's specialty?

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

What insurance does Southeast Michigan Medical Associates PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Southeast Michigan Medical Associates PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southeast Michigan Medical Associates PC was last updated on February 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.