IndividualActive
Antonio Carrillo, MD
NPI 1700866639 · Cardiovascular Disease Physician · Southfield, MI
Provider details
- NPI number
- 1700866639
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301034822 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
29877 Telegraph Rd
Suite 400
Southfield, MI 48034-1332
Phone: (248) 799-2600
Fax: (248) 799-2604
Approximate (ZIP-level) locationGet directions
Mailing address
29877 Telegraph Rd
Southfield, MI 48034-1332
Registry dates
- Enumerated
- 2006-01-18
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.