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

Great Lakes Physicians PC

Organization Internal Medicine Physician · NPI 1164591053

Great Lakes Physicians PC is an Internal Medicine Physician in Livonia, Michigan. Registered with an NPI since 2006.

In the registry since
2006
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

36180 Five Mile Rd
Livonia, MI 48154
Phone: (734) 591-7666
Fax: (734) 591-2426
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1164591053
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jayshree Desai — Owner · (734) 591-7666
NPI enumeratedNovember 7, 2006
Last updated in NPPESSeptember 28, 2012
Mailing address36180 Five Mile Road, Livonia, MI 48154

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