NPI Code Details Logo

NPI 1922765510

NPI 1922765510 : AFFAS INTERNAL MEDICINE PLLC : SOUTHFIELD, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1922765510
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    AFFAS INTERNAL MEDICINE PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/18/2021
-----------------------------------------------------
    Last Update Date     |    08/17/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    16001 W 9 MILE RD 
-----------------------------------------------------
    City                 |    SOUTHFIELD
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48075-4818
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    248-849-5494
-----------------------------------------------------
    Fax                  |    248-265-3830
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 3205 
-----------------------------------------------------
    City                 |    FARMINGTON HILLS
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48333-3205
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    248-635-6938
-----------------------------------------------------
    Fax                  |    248-265-3830
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     SAIF  AFFAS 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    480-568-9341
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.