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

Justine Auxilia Irene Chinnappan

Individual provider Internal Medicine Physician · NPI 1861074460

Justine Auxilia Irene Chinnappan is an Internal Medicine Physician in Southfield, Michigan. Practices as a sole proprietor. Licensed in Michigan and Ohio.

Licensed in
MI, OH
In the registry since
2021
Specialties on file
2

Practice location Address checks out

22301 Foster Winter Dr
Southfield, MI 48075-3707
Phone: (248) 849-3541
Fax: (248) 849-2899
Show map & directions

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

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence 4301514206 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 35.151234 (OH)

Record details

NPI number1861074460
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 22, 2021
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025

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