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

Southfield Premier Primary Care PLLC

Organization Internal Medicine Physician · NPI 1417682766

Southfield Premier Primary Care PLLC is an Internal Medicine Physician in Southfield, Michigan. Registered with an NPI since 2022.

In the registry since
2022
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

17070 W 12 Mile Rd Ste A
Southfield, MI 48076-2116
Phone: (248) 559-2280
Fax: (248) 559-3752
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1417682766
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rafid Mansour — Medical Director/Physician · (248) 559-2280
NPI enumeratedJuly 20, 2022
Last updated in NPPESJuly 20, 2022
Certification dateJuly 20, 2022
Mailing address17070 W 12 Mile Rd Ste A, Southfield, MI 48076-2116

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