CARDIOVASCULAR INSTITUTE OF MICHIGAN P.C. NPI 1154350890

NPI Information

  • NPI: 1154350890
  • Provider Name: CARDIOVASCULAR INSTITUTE OF MICHIGAN, P.C.
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • CLIA Number: 23D1028314
  • Address: 18303 E 10 MILE RD
    SUITE 100
    ROSEVILLE, MI
    ZIP 48066
  • Phone: (586) 776-8877

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NPI Details

CARDIOVASCULAR INSTITUTE OF MICHIGAN, P.C. is a cardiovascular disease internal medicine in Roseville, 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. CARDIOVASCULAR INSTITUTE OF MICHIGAN, P.C. NPI is 1154350890. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

18303 E 10 MILE RD
SUITE 100
ROSEVILLE, MI
ZIP 48066-988
Phone: (586) 776-8877
Fax: (586) 776-3092

The provider's authorized official is Mohamad K Ajjour .
The authorized official title is Administrator and has the following contact phone number (586) 776-8877.

The CLIA number assigned to this NPI record is 23D1028314 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 3/21/2011.

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
1207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
2207RC0000XInternal MedicineCardiovascular DiseaseYes

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
1CD6196OTHERMICHIGANRAILROAD MEDICARE
20M25330MEDICARE PINMICHIGAN
3M018365OTHERMICHIGANCHAMPUS GROUP
40E01050OTHERMICHIGANBCBS GROUP

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: 3/30/2025

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