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

Southfield Family Practice PLLC

Organization Family Medicine Physician · NPI 1306195730

Southfield Family Practice PLLC provides Family Medicine Physician services in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

22972 Lahser Rd
Southfield, MI 48033 Not confirmed with CMS for 14 years — call before visiting
Phone: (248) 353-4777
Fax: (248) 353-4235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301065663 (MI)

Record details

NPI number1306195730
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mutahhar Ahmad — President · (248) 353-4777
NPI enumeratedAugust 30, 2012
Last updated in NPPESAugust 30, 2012
Mailing address22972 Lahser Road, Southfield, MI 48033

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