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

Ketan Tolia, MD

Individual provider Internal Medicine Physician · NPI 1710988688

Ketan Tolia, MD is an Internal Medicine in Southfield, Michigan. Qualified in 1986, 40 years ago. Practices with Henry Ford Health Providence Hospital, a 350-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
40
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

22255 Greenfield 400
Southfield, MI 48075
Phone: (248) 465-4010
Fax: (248) 465-4011
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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 4301054022 (MI)

Record details

NPI number1710988688
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 2, 2005
Last updated in NPPESAugust 13, 2013
Mailing address26850 Providence Pkwy, Pmob#200, Novi, MI 48374-1213

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Henry Ford Health Providence Hospital — 350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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