Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bellavista Medical Center PLLC

Organization Internal Medicine Physician · NPI 1447499736

Bellavista Medical Center PLLC is an Internal Medicine Physician in Southgate, Michigan. Licensed in Michigan. Registered with an NPI since 2009.

Licensed in
MI
In the registry since
2009
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15830 Fort St Ste 7
Southgate, MI 48195-1367
Phone: (734) 282-3236
Fax: (734) 282-4899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301057471 (MI)

Record details

NPI number1447499736
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohamad Al-Jarrah — Owner · (734) 282-3236
NPI enumeratedFebruary 11, 2009
Last updated in NPPESJune 18, 2013
Mailing address15830 Fort St, Suite 7, Southgate, MI 48195-1367

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