HENRY L GREEN MD PC NPI 1104006105

NPI Information

  • NPI: 1104006105
  • Provider Name: HENRY L GREEN MD PC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Doing Business As: SOUTHFIELD CARDIOVASCULAR ASSOCIATES
  • Address: 22255 GREENFIELD
    SUITE 231
    SOUTHFIELD, MI
    ZIP 48075
  • Phone: (248) 569-0122

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NPI Details

HENRY L GREEN MD PC is a cardiovascular disease internal medicine in Southfield, 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. HENRY L GREEN MD PC NPI is 1104006105. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Southfield Cardiovascular Associates.

The provider's business location address is:

22255 GREENFIELD
SUITE 231
SOUTHFIELD, MI
ZIP 48075-728
Phone: (248) 569-0122
Fax: (248) 569-3758

The provider's authorized official is Henry L Green .
The authorized official title is Md/president and has the following contact phone number (248) 569-0122.

The enumeration date for this NPI number is 11/7/2007 and was last updated on 7/9/2014.

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
1207RC0000XInternal MedicineCardiovascular Disease21840MICHIGANYes

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
1A78297MEDICARE UPINMICHIGAN
20N80170MEDICARE PINMICHIGAN

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: 11/21/2025

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