Dr Mark Boutros, MD - Family Medicine in Southfield, MI

Dr Mark Boutros, MD is a Family Medicine physician based in Southfield, Michigan. Dr Mark Boutros is licensed to practice in Michigan (license number 4301096340) and his current practice location is 22250 Providence Dr, Suite 500, Southfield, Michigan. He can be reached at his office (for appointments etc.) via phone at (248) 849-3441.

NPI number for Dr Mark Boutros is 1184936817 and his current mailing address is 22250 Providence Dr, Suite 500, Southfield, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184936817.

Contact Information

Dr Mark Boutros, MD
22250 Providence Dr, Suite 500,
Southfield, MI 48075-4825
(248) 849-3441
(248) 849-5389



Physician's Profile

Full NameDr Mark Boutros
GenderMale
SpecialityFamily Medicine
Location22250 Providence Dr, Southfield, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1184936817
  • Provider Enumeration Date: 07/10/2010
  • Last Update Date: 03/28/2012

Medical Identifiers

Medical identifiers for Dr Mark Boutros such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184936817NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4301096340 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark Boutros is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mark Boutros, MD
22250 Providence Dr, Suite 500,
Southfield, MI 48075-4825

Ph: (248) 849-3441
Dr Mark Boutros, MD
22250 Providence Dr, Suite 500,
Southfield, MI 48075-4825

Ph: (248) 849-3441

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› Verified 4 days ago


Family Medicine Doctors in Southfield, MI

Dr. Vikash Patel, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 22250 Providence Dr Ste 557, Southfield, MI 48075
Phone: 248-849-3447    Fax: 248-849-8021
Braswell Drue Deen, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 22250 Providence Dr, 5th Floor.fl 5, Southfield, MI 48075
Phone: 248-849-3441    Fax: 248-849-5389
Sylvia Kristine Hollowell, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 20905 Greenfield, #507, Southfield, MI 48075
Phone: 248-559-5640    Fax: 248-559-7945
Katherine Cybinski, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 22250 Providence Dr, Suite 500, Southfield, MI 48075
Phone: 248-849-3441    
Naushin Hossain, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 22250 Providence Dr, Suite 500, Southfield, MI 48075
Phone: 248-849-3441    
Dr. Racha El-ladki, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 21816 W 11 Mile Rd, Southfield, MI 48076
Phone: 248-375-4040    Fax: 248-375-4044
Dr. Cheryl Lee Smith, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 22250 Providence Dr, Suite 500, Southfield, MI 48075
Phone: 248-849-3441    

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