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

Delta Renal Group, PC

Organization Nephrology Physician · NPI 1407863194

Delta Renal Group, PC is a Nephrology Physician in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

20755 Greenfield Rd Ste Number 203
Southfield, MI 48075-5403
Phone: (248) 395-2206
Fax: (248) 395-0456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 4301072901 (MI)

Record details

NPI number1407863194
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Boniface Tubie — President/ Coe · (248) 395-2206
Other names Boniface Tubie, M.D.
NPI enumeratedAugust 2, 2006
Last updated in NPPESAugust 22, 2020
Mailing address20755 Greenfield Rd, Suite Number 203, Southfield, MI 48075-5403

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