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

Southfield Family Practice PLLC

Organization Family Medicine Physician · NPI 1306195730

Southfield Family Practice PLLC is a Family Medicine Physician in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012
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

22972 Lahser Rd
Southfield, MI 48033
Phone: (248) 353-4777
Fax: (248) 353-4235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301065663 (MI)

Record details

NPI number1306195730
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mutahhar Ahmad — President · (248) 353-4777
NPI enumeratedAugust 30, 2012
Last updated in NPPESAugust 30, 2012
Mailing address22972 Lahser Road, Southfield, MI 48033

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