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Sandra L. Ellis, MD, Pllc

Internal Medicine Physician in Southfield, MI · enumerated 2007 · authorized official Sandra Ellis, President.

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

National Provider Identifier

1407054752

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Registry record

Entity type Organization (Type 2)
Legal business name Sandra L. Ellis, MD, Pllc
Practice address 19034 W 10 Mile Rd, Southfield, MI, 48075
Fax (248) 353-1367
Enumeration date Jul 9, 2007
Last updated in NPPES Apr 20, 2008

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License SE070800 (MI) Primary

Authorized official

Name Sandra Ellis
Title President

Other identifiers

Identifier Type State Issuer
104077793 Medicaid MI -

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

Where is Sandra L. Ellis, MD, Pllc located?
The practice location on file with NPPES is in Southfield, MI.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-04-20. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-20.