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

John Efthyvoulidis

Individual provider Family Medicine Physician · NPI 1194352815

John Efthyvoulidis is a Family Practice in Clinton Township, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2020, 6 years ago. Practices with Ram Surendran MD PC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
6
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2020
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Practice location Address checks out

15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone: (586) 263-2300
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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 5151014423 (MI)

Record details

NPI number1194352815
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 24, 2020
Last updated in NPPESMarch 30, 2021
Certification dateMarch 30, 2021
Mailing address15855 19 Mile Rd, Clinton Township, MI 48038-3504

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2020 (6 years in practice)
Group practice Ram Surendran Md Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Clinton Township