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

Sally Azzo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1396132106

Sally Azzo is an Internal Medicine in Southfield, Michigan. Qualified in 2005, 21 years ago. Practices with Dedicated Physicians Group of Michigan, PLLC, a 13-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
21
Licensed in
MI
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

21816 W 11 Mile Rd
Southfield, MI 48076-3724
Phone: (248) 375-4040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 — (313) 745-4832
  • 50 N Perry St, Pontiac, MI 48342-2217 — (248) 338-5645

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301107389 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1396132106
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 20, 2015
Last updated in NPPESJune 25, 2021
Certification dateJune 25, 2021
Mailing address1395 Nw 167th St, Miami Gardens, FL 33169-5710

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Dedicated Physicians Group Of Michigan, Pllc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Southfield