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SOUTHFIELD FAMILY PHYSICIANS, PLLC
NPI 1720118037
Family Medicine in Southfield, MI

Active since March 06, 2007
22972 LAHSER RD, SOUTHFIELD, MI 48034(248) 353-4777(248) 353-4235 Get Directions Write a Review

NPPES record last updated: February 28, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southfield Family Physicians, Pllc NPPES

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

SOUTHFIELD FAMILY PHYSICIANS, PLLC (NPI 1720118037) is a healthcare organization registered as a family medicine in Southfield, Michigan and active in the NPI registry since March 2007. The organization lists Jackie Gabbanajan, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1720118037
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTHFIELD FAMILY PHYSICIANS, PLLC
Location Address22972 LAHSER RDSouthfield, MI 48034-4408
Mailing Address22972 Lahser RdSouthfield, MI 48033-4408 · (248) 353-4777 · Fax (248) 353-4235
Phone(248) 353-4777
Fax(248) 353-4235
Organization SubpartNo
Authorized OfficialJackie GabbanajanOffice Manager · (242) 353-4777
Enumeration DateMarch 6, 2007
Last NPPES UpdateFebruary 28, 2012
✔ NPI 1720118037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · MJ034283
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
22972 LAHSER RD, Southfield, MI 48034
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Other Identifiers 5

Other080F375520MI · Bcbs
Medicare UPINA74494MI
Medicare PIN0M80170001
Medicaid4102457MI
Medicare PIN0M80170

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 Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES

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

LATHA THIRUCHELVAN KANNAN MD
Internal Medicine (Infectious Disease)
22972 LAHSER RD
SOUTHFIELD, MI 48034
Oakland County (248) 353-4777

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 Southfield Family Physicians, PLLC's NPI number?

The NPI number for Southfield Family Physicians, PLLC is 1720118037. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Southfield Family Physicians, PLLC located?

Southfield Family Physicians, PLLC is located at 22972 Lahser Rd, Southfield, MI 48034. The listed phone number is (248) 353-4777.

What is Southfield Family Physicians, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Southfield Family Physicians, PLLC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Southfield Family Physicians, PLLC 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 Southfield Family Physicians, PLLC was last updated on February 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.