DEREK G. DESOUZA MD PLLC


Address: 36975 Five Mile Rd, Livonia, MI 48154-1871
Phone: 7344640600

DEREK G. DESOUZA MD PLLC (NPI# 1659885226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659885226
Entity Type Organization
Organization Name DEREK G. DESOUZA MD PLLC
Practice Address 36975 Five Mile Rd
Livonia
MI 48154-1871
Mailing Address 18576 Shadyside St
Livonia
MI 48152-3246
Practice Telephone 7344640600
Mailing Telephone 7346742739
Enumeration Date 2017-11-19
Last Update Date 2017-11-19
Authorized Official Name MS. IRENE MARTIN (BILLER)
Authorized Official Telephone 7346742739
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 4301042922 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 36975 FIVE MILE RD
City LIVONIA
State MI
Zip Code 48154-1871

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053577163 Marianne Ervin Vesterfelt Nurse Practitioner 36975 Five Mile Rd, Livonia, MI 48154-1871 2008-07-29
1457826984 Debra Ann Lambrix Speech-Language Pathologist 36975 Five Mile Rd, Livonia, MI 48154-1871 2018-10-11
1821580531 Kristen Patterson Occupational Therapist 36975 Five Mile Rd, Livonia, MI 48154-1871 2018-05-30
1245730712 Shari Wahl Occupational Therapist 36975 Five Mile Rd, Livonia, MI 48154-1871 2018-02-20
1992205462 Eric Wahl Occupational Therapist 36975 Five Mile Rd, Livonia, MI 48154-1871 2018-02-20
1689174435 Dawnmarie Kozlowski Occupational Therapist 36975 Five Mile Rd, Livonia, MI 48154-1871 2018-02-19
1811497506 Jeena Mary Alexander Physical Therapist 36975 Five Mile Rd, Livonia, MI 48154-1871 2018-02-19
1629582226 Prasad Mikkilineni Md Pllc Internal Medicine 36975 Five Mile Rd, Livonia, MI 48154-1871 2017-11-20
1740794312 Prasad Mikkilineni Md Internal Medicine 36975 Five Mile Rd, Livonia, MI 48154-1871 2017-11-19
1306370879 Sarah Belinov Nurse Practitioner 36975 Five Mile Rd, Livonia, MI 48154-1871 2017-04-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699386227 Iha Health Service Corporation Durable Medical Equipment & Medical Supplies Iha Associates In Podiatry, 14555 Levan Road Suite 116, Livonia, MI 48154 2020-08-17
1972130136 Cameron Strong Student in an Organized Health Care Education/Training Program St. Mary Mercy Hospital, 36475 Five Mile Road, Livonia, MI 48154 2020-03-26
1447894019 Nova Pharmacy Pharmacy 15140 Levan Rd, Suite 40, Livonia, MI 48154 2019-11-06
1356992242 Milly Baydoun Registered Nurse 36650 Five Mile Rd Ste 106, Livonia, MI 48154 2019-09-23
1861059396 Align Family Chiropractic LLC Clinic/Center 19047 Middlebelt Rd, Livonia, MI 48154 2019-05-21
1619442159 Ashley Vaduva Counselor 37677 Professional Center Dr Ste 110c, Livonia, MI 48154 2018-10-11
1245719434 Myron Rubin Dds PC Dentist 15357 Frmington Rd, Livonia, MI 48154 2018-08-09
1720578636 New Beginnings Addiction & Counseling Services Counselor 27677 Professional Center Drive Suite 135, Livonia, MI 48154 2018-05-16
1831693670 Robust Rehab Services, Inc. Occupational Therapist 32854 5 Mile Rd, Livonia, MI 48154 2018-03-19
1184139644 Nova Pharmacy LLC Pharmacy 15140 Levan Rd Suite 40, Livonia, MI 48154 2017-12-06
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740722446 Sindhu Ramesh Md Pllc Internal Medicine 17177 N Laurel Park Dr Ste 439, Livonia, MI 48152-3938 2016-11-11
1902167737 Rachel B Marcucci Internal Medicine 14600 Farmington Rd Ste 105, Livonia, MI 48154-5431 2012-06-07
1255656989 Somnath Chowdhury Internal Medicine 20280 Middlebelt Rd Ste 500, Livonia, MI 48152-2002 2010-04-06
1932300803 Middlebelt Medical Center, Plc Internal Medicine 16322 Middlebelt Rd, Livonia, MI 48154-3316 2007-05-30
1689875726 Livernois Clinic, P.C. Internal Medicine 17330 Farmington Rd, Livonia, MI 48152-3158 2007-05-29
1013132240 Infinity Primary Care Pllc Internal Medicine 20276 Middlebelt, Suite 7, Livonia, MI 48152-2054 2007-04-14
1083759039 Levan Internists PC Internal Medicine 15130 Levan Rd, Livonia, MI 48154-5027 2007-02-20
1235278805 Miracle Visiting Professionals, Inc. Internal Medicine 16989 Farmington Rd, Livonia, MI 48154-2946 2007-02-06
1386781490 Mark Petrous Internal Medicine 20224 Farmington Rd, Livonia, MI 48152 2007-01-30
1144386426 Reva Morale Mccaskill Internal Medicine 17800 Newburgh Road, Suite 103, Livonia, MI 48152 2006-12-29
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Competitor

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City LIVONIA
Zip Code 48154

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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