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Renovis Health LLC

Internal Medicine Physician in Southfield, MI · enumerated 2020 · authorized official Olisaeloka Dallah, Chief Administrative Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205443504

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Registry record

Entity type Organization (Type 2)
Legal business name Renovis Health LLC
Other name <Unavail>
Practice address 26206 W 12 Mile Rd Ste 302, Southfield, MI, 48034
Phone (424) 303-0544
Enumeration date Sep 30, 2020
Last updated in NPPES Mar 13, 2023

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary
207RC0200X Critical Care Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians Secondary
251E00000X Home Health Agency Agencies Secondary
302R00000X Health Maintenance Organization Managed Care Organizations Secondary

Authorized official

Name Olisaeloka Dallah
Title Chief Administrative Officer
Phone (248) 470-7318

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Renovis Health LLC?
The NPI for Renovis Health LLC is 1205443504, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Renovis Health LLC?
NPPES lists Olisaeloka Dallah (Chief Administrative Officer) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-13.