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

Great Lakes Medical Group PC

Organization Internal Medicine Physician · NPI 1053787853

Great Lakes Medical Group PC is an Internal Medicine Physician in Eastpointe, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19070 E 10 Mile Rd
Eastpointe, MI 48021-1449
Phone: (313) 418-9952
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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 5315012655 (MI)

Record details

NPI number1053787853
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohamad Rahbar — President · (313) 418-9952
NPI enumeratedAugust 15, 2015
Last updated in NPPESAugust 15, 2015
Mailing address19070 E 10 Mile Rd, Eastpointe, MI 48021-1449

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