PROVIDENCE PARK INTERNAL MEDICINE PC
NPI 1487052619
Internal Medicine in Novi, MI

Active since December 22, 2014
26850 PROVIDENCE PKWY, SUITE 450, NOVI, MI 48374(248) 891-4074 Get Directions Write a Review

NPPES record last updated: January 7, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providence Park Internal Medicine Pc NPPES

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

PROVIDENCE PARK INTERNAL MEDICINE PC (NPI 1487052619) is a healthcare organization registered as an internal medicine in Novi, Michigan and active in the NPI registry since December 2014. The organization lists Suha A Qasim, President, as its authorized official.

NPPES Registry Identity

NPI1487052619
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePROVIDENCE PARK INTERNAL MEDICINE PC
Location Address26850 PROVIDENCE PKWY, SUITE 450Novi, MI 48374-1213
Mailing Address26850 Providence Pkwy, Suite 450Novi, MI 48374-1213 · (248) 891-4074
Organization SubpartNo
Authorized OfficialSuha A QasimPresident · (248) 891-4074
Enumeration DateDecember 22, 2014
Last NPPES UpdateJanuary 7, 2015
NPI 1487052619 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 · 4301089716
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.
26850 PROVIDENCE PKWY, Novi, MI 48374

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 20

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

Internal Medicine
26850 PROVIDENCE PKWY, SUITE 505
NOVI, MI 48374
Internal Medicine
26850 PROVIDENCE PKWY, SUITE 350
NOVI, MI 48374
Specialist
26850 PROVIDENCE PKWY, SUITE 125
NOVI, MI 48374
Physical Therapist
26850 PROVIDENCE PKWY
NOVI, MI 48374
Surgery
26850 PROVIDENCE PKWY, #460
NOVI, MI 48374
Family Medicine
26850 PROVIDENCE PKWY, SUITE 375
NOVI, MI 48374
Psychologist
26850 PROVIDENCE PKWY, SUITE 410
NOVI, MI 48374
Internal Medicine (Endocrinology, Diabetes & Metabolism)
26850 PROVIDENCE PKWY
NOVI, MI 48374

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 Providence Park Internal Medicine PC's NPI number?

The NPI number for Providence Park Internal Medicine PC is 1487052619. It was assigned to this organization in the NPPES registry on December 22, 2014.

Where is Providence Park Internal Medicine PC located?

Providence Park Internal Medicine PC is located at 26850 Providence Pkwy Suite 450, Novi, MI 48374. The listed phone number is (248) 891-4074.

What is Providence Park Internal Medicine PC'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 Providence Park Internal Medicine PC was last updated on January 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.