HEART & VASCULAR INSTITUTE OF MI P.C. NPI 1003166075

NPI Information

NPI: 1003166075
Provider Name: HEART & VASCULAR INSTITUTE OF MI P.C.
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 23D2099956

Address:
1075 SUNCREST DR
SUITE C
LAPEER, MI
ZIP 48446
Phone: (810) 667-7333
Get Directions

HEART & VASCULAR INSTITUTE OF MI P.C. is a cardiovascular disease internal medicine in Lapeer, MI. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. HEART & VASCULAR INSTITUTE OF MI P.C. NPI is 1003166075. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1075 SUNCREST DR
SUITE C
LAPEER, MI
ZIP 48446-403
Phone: (810) 667-7333
Fax: (810) 660-8133

The provider's authorized official is Majed Nounou .
The authorized official title is President and has the following contact phone number (810) 667-7333.

The CLIA number assigned to this NPI record is 23D2099956 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/17/2012 and was last updated on 7/17/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	4301091738	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1003166075	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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