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

Organization Internal Medicine Physician · NPI 1558959247

Vitality Wellness and Medspa PLLC is an Internal Medicine Physician in Novi, Michigan. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
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

24464 Thatcher Dr
Novi, MI 48375-2365
Phone: (617) 549-0252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 45380 W 10 Mile Rd, Novi, MI 48375-3000 — (617) 549-0252

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1558959247
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Komal Trivedi — Owner · (617) 549-0252
NPI enumeratedJanuary 7, 2021
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024
Mailing address24464 Thatcher Dr, Novi, MI 48375-2365

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