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

Southeast Michigan Anesthesia Group PLLC

Organization Anesthesiology Physician · NPI 1417403866

Southeast Michigan Anesthesia Group PLLC is an Anesthesiology Physician in Dearborn, Michigan. Registered with an NPI since 2016.

In the registry since
2016
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

13530 Michigan Ave Ste 100
Dearborn, MI 48126-3574
Phone: (313) 582-7777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1417403866
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fatina Masri — Ao · (313) 582-7777
NPI enumeratedAugust 26, 2016
Last updated in NPPESSeptember 1, 2022
Certification dateSeptember 1, 2022
Mailing address13530 Michigan Ave, Suite 100, Dearborn, MI 48126-3574

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