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

Online Controlled Kravings Weight Loss PLLC

Organization General Practice Physician · NPI 1043096761

Online Controlled Kravings Weight Loss PLLC is a General Practice Physician in Southfield, Michigan. Registered with an NPI since 2023.

In the registry since
2023
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

21701 W 11 Mile Rd Ste 5
Southfield, MI 48076-3713
Phone: (248) 429-9556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1043096761
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOnline Controlled Kravings Weight Loss PLLC
Authorized official Zakari Tata — Authorized Official · (248) 429-9556
Other names Chronic Disease And Health Management
NPI enumeratedSeptember 7, 2023
Last updated in NPPESSeptember 7, 2023
Certification dateSeptember 7, 2023
Mailing address21701 W 11 Mile Rd Ste 5, Southfield, MI 48076-3713

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