PLATINUM CARE PHYSICIANS PC NPI 1245633411

NPI Information

  • NPI: 1245633411
  • Provider Name: PLATINUM CARE PHYSICIANS PC
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • CLIA Number: 23D0908486
  • Address: 27207 LAHSER RD
    SUITE 250
    SOUTHFIELD, MI
    ZIP 48034
  • Phone: (248) 967-3200

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NPI Details

PLATINUM CARE PHYSICIANS PC is a geriatric medicine internal medicine in Southfield, MI. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. PLATINUM CARE PHYSICIANS PC NPI is 1245633411. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

27207 LAHSER RD
SUITE 250
SOUTHFIELD, MI
ZIP 48034-168
Phone: (248) 967-3200
Fax: (248) 967-1387

The provider's authorized official is Aquarius Bouier .
The authorized official title is Manager and has the following contact phone number (248) 967-3200.

The CLIA number assigned to this NPI record is 23D0908486 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2014 and was last updated on 6/23/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0300XInternal MedicineGeriatric Medicine5101012320MICHIGANNo
2207RG0300XInternal MedicineGeriatric Medicine5101007369MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10H71585OTHERMICHIGANBCBSM PIN/FACILITY CODE

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: 11/21/2025

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