Active NPI
Galina Tikh, M.D.
- Internal Medicine Physician
- Southfield, MI
National Provider Identifier
1083719967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- GT059190
- Practice address
- 21751 W 11 Mile Rd Ste 110
Southfield, MI 48076-3779 - Phone
- (248) 356-2100
- Fax
- (248) 356-2121
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | GT059190 | MI | Primary |
Addresses
Primary practice location
21751 W 11 Mile Rd Ste 110
Southfield, MI 48076-3779
Mailing address
21751 W 11 Mile Rd Ste 110
Southfield, MI 48076-3779
Phone (248) 356-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GT059190 | MI | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083719967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21751 W 11 MILE RD STE 110",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480763779",
"telephone_number": "248-356-2100",
"fax_number": "248-356-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21751 W 11 MILE RD STE 110",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480763779",
"telephone_number": "248-356-2100",
"fax_number": "248-356-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIKH",
"first_name": "GALINA",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "GT059190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.