Healthcare Provider Details

I. General information

NPI: 1548894413
Provider Name (Legal Business Name): AMERICAN HOME VISITING PHYSICIANS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2020
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16250 NORTHLAND DR STE 207
SOUTHFIELD MI
48075-5227
US

IV. Provider business mailing address

16250 NORTHLAND DR STE 207
SOUTHFIELD MI
48075-5227
US

V. Phone/Fax

Practice location:
  • Phone: 313-543-3100
  • Fax: 313-543-3193
Mailing address:
  • Phone: 313-543-3100
  • Fax: 313-543-3193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. RANAJIT SIL
Title or Position: OWNER
Credential: M.D.
Phone: 313-543-3100