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

Individual provider Internal Medicine Physician · NPI 1114908209

Dr. Ashok Kumar Bansal, MD is an Internal Medicine in Southfield, Michigan. Qualified in 1979, 47 years ago. Practices with Southeast Michigan Medical Associates, PC, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
47
Licensed in
MI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

26206 W 12 Mile Rd Ste 202
Southfield, MI 48034-1754
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 number1114908209
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 7, 2005
Last updated in NPPESJune 25, 2025
Certification dateJune 25, 2025
Mailing address18451 W 12 Mile Rd Ste 200, Lathrup Village, MI 48076-2635

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice Southeast Michigan Medical Associates, Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations11 on file with Medicare

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