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

Individual provider Family Medicine Physician · NPI 1356961361

Olivia Rose Souphis, MD is a Family Practice in Royal Oak, Michigan. Graduated from Central Michigan College of Medicine in 2020, 6 years ago. Practices with Oakwood Ambulatory LLC, a 272-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Trained at
Central Michigan College of Medicine
Licensed in
MI
In the registry since
2020
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

309 E 11 Mile Rd
Royal Oak, MI 48067-2735
Phone: (947) 522-4900
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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 4301509134 (MI)

Record details

NPI number1356961361
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2020
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolCENTRAL MICHIGAN COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Oakwood Ambulatory Llc — 272 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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