Healthcare Provider Details

I. General information

NPI: 1144228917
Provider Name (Legal Business Name): CARL PALFFY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2005
Last Update Date: 12/16/2023
Certification Date: 12/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41800 W 11 MILE RD STE 109
NOVI MI
48375-1818
US

IV. Provider business mailing address

1749 E MAPLE RD
BIRMINGHAM MI
48009-6505
US

V. Phone/Fax

Practice location:
  • Phone: 248-660-1220
  • Fax: 248-256-3799
Mailing address:
  • Phone: 248-703-4148
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301052322
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number4301052322
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberCP052322
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: