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

Momin Samad

Individual provider Gastroenterology Physician · NPI 1225779531

Momin Samad is a Gastroenterology Physician in Southfield, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

22250 Providence Dr Ste #301A
Southfield, MI 48075-4818
Phone: (248) 849-3254
Fax: (248) 849-5449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2799 W Grand Blvd, Detroit, MI 48202-2608 — (313) 916-2600

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Gastroenterology Physician Taxonomy 207RG0100X · Licence 4351049456 (MI)

Record details

NPI number1225779531
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 2, 2022
Last updated in NPPESMarch 5, 2025
Certification dateMarch 3, 2025
Mailing address2799 West Grand Blvd., Cfp 1, Detroit, MI 48202

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