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

Renovis Health LLC

Organization Internal Medicine Physician · NPI 1205443504

Renovis Health LLC is an Internal Medicine Physician in Southfield, Michigan. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

26206 W 12 Mile Rd Ste 302
Southfield, MI 48034-8501
Phone: (424) 303-0544
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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
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X
Home Health Agency Taxonomy 251E00000X
Health Maintenance Organization Taxonomy 302R00000X

Record details

NPI number1205443504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Olisaeloka Dallah — Chief Administrative Officer · (248) 470-7318
Other names Renovis Health; Renovis Health
NPI enumeratedSeptember 30, 2020
Last updated in NPPESMarch 13, 2023
Certification dateMarch 13, 2023
Mailing address29155 Northwestern Hwy # 515, Southfield, MI 48034-1011

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