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

Lifesmart Medical Center PLLC

Organization Family Medicine Physician · NPI 1477391274

Lifesmart Medical Center PLLC is a Family Medicine Physician in Lincoln Park, Michigan. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
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

2176 Fort St
Lincoln Park, MI 48146-2405
Phone: (313) 768-5096
Fax: (877) 409-3290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1477391274
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amitha Parvataneni — Owner · (313) 768-5096
NPI enumeratedJuly 16, 2024
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025
Mailing address2176 Fort St, Lincoln Park, MI 48146-2405

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