PAUL GOLDSHLACK DO PC NPI 1124211131

NPI Information

NPI: 1124211131
Provider Name: PAUL GOLDSHLACK DO PC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1200 E MICHIGAN AVE
SUITE 500
LANSING, MI
ZIP 48912
Phone: (517) 484-4095
Get Directions

PAUL GOLDSHLACK DO PC is a cardiovascular disease internal medicine in Lansing, 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. PAUL GOLDSHLACK DO PC NPI is 1124211131. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1200 E MICHIGAN AVE
SUITE 500
LANSING, MI
ZIP 48912-800
Phone: (517) 484-4095

The provider's authorized official is Paul Alan Goldshlack .
The authorized official title is President and has the following contact phone number (517) 484-4095.

The enumeration date for this NPI number is 8/22/2007 and was last updated on 8/22/2007.

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	PG007284	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	111869414	MEDICAID	MICHIGAN
2	0P27560001	MEDICARE PIN
3	B45906	MEDICARE UPIN
4	1153311384	OTHER		BLUE CROSS BLUE SHIELD MI

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: 11/14/2023

NPI Synchronization or Removal

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