Sandra L Ellis MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

SE070800 Issued in MI

Legal business name

SANDRA L ELLIS MD PLLC

Practice address

19034 W 10 Mile Rd
Southfield, MI 48075-2401

Phone

(248) 353-2600

NPI assigned

Jan 13, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sandra L Ellis, M.D.NPI 1861419491

Title

Owner

Phone

(248) 353-2600

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra L Ellis, MD

  • Internal Medicine Physician
  • Brandon, FL
  • NPI 1861419491
  NPD (past) Authorized official
• Geeta N Khanchandani, MD

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1407956097
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1205166337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19034 W 10 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19034 W 10 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752401",
            "telephone_number": "248-353-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA L ELLIS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-353-2600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "SE070800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rashawnda Marie Sanders, LMT
• Seterra Mahdi Nycole Sanders
• Gaganjot Sandhu, MD
• Ravinder Sandhu
• Sandra Brown M.D.,P.C.
• Sandra L. Ellis, MD, PLLC
• Sandra S Lerner DO PLLC
• Margaret Sands-Goldstein
• Sangeeta Grewal
• Sankofa Healthcare Services

• Internal Medicine Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.