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RENOVIS HEALTH LLC NPI 1205443504


NPI Information

NPI: 1205443504
Provider Name: RENOVIS HEALTH LLC

Doing Business As: RENOVIS HEALTH

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
26206 W 12 MILE RD STE 302
SOUTHFIELD, MI
ZIP 48034
Phone: (424) 303-0544
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RENOVIS HEALTH LLC is an internal medicine in Southfield, MI. The provider is 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. RENOVIS HEALTH LLC NPI is 1205443504. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Renovis Health.

The provider's business location address is:

26206 W 12 MILE RD STE 302
SOUTHFIELD, MI
ZIP 48034-501
Phone: (424) 303-0544

The provider's authorized official is Olisaeloka Dallah .
The authorized official title is Chief Administrative Officer and has the following contact phone number (248) 470-7318.

The enumeration date for this NPI number is 9/30/2020 and was last updated on 3/13/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0200XInternal MedicineCritical Care MedicineNo
2251E00000XHome HealthNo
3302R00000XHealth Maintenance OrganizationNo
4207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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