HOME PHYSICIAN SERVICES PC NPI 1346347523

NPI Information

  • NPI: 1346347523
  • Provider Name: HOME PHYSICIAN SERVICES PC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 17520 W 12 MILE RD STE 109
    SOUTHFIELD, MI
    ZIP 48076
  • Phone: (248) 228-8654

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NPI Details

HOME PHYSICIAN SERVICES PC is a general practice in Southfield, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee HOME PHYSICIAN SERVICES PC NPI is 1346347523. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17520 W 12 MILE RD STE 109
SOUTHFIELD, MI
ZIP 48076-907
Phone: (248) 228-8654
Fax: (248) 228-8656

The provider's authorized official is Sonjai Poonpanij .
The authorized official title is Owner and has the following contact phone number (248) 743-1099.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 3/8/2010.

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
1208D00000XGeneral Practice4301032562MICHIGANYes

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
10P14460MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

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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