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

Southeast Michigan Medical Associates PC

Organization Internal Medicine Physician · NPI 1417001660

Southeast Michigan Medical Associates PC is an Internal Medicine Physician in Lathrup Village, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
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

18451 W 12 Mile Rd Ste 200
Lathrup Village, MI 48076-2644
Phone: (248) 827-7612
Fax: (248) 827-7615
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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 · Licence 4301057441 (MI)

Record details

NPI number1417001660
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashok Bansal — President · (248) 827-7612
NPI enumeratedJanuary 23, 2007
Last updated in NPPESFebruary 21, 2017
Mailing address18451 W 12 Mile Rd, Ste 200, Lathrup Village, MI 48076-2644

Other providers in Lathrup Village