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

Southgate Allied Anesthesia PLLC

Organization Anesthesiologist Assistant · NPI 1689046070

Southgate Allied Anesthesia PLLC is an Anesthesiologist Assistant in Southgate, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

13460 Fort St
Southgate, MI 48195-1138
Phone: (313) 263-5961
Fax: (313) 263-5963
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 4704090801 (MI)

Record details

NPI number1689046070
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Atif Bawahab — Admin · (979) 574-7109
NPI enumeratedOctober 24, 2015
Last updated in NPPESOctober 24, 2015
Mailing addressPo Box 2071, Southgate, MI 48195-4071

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