SD CARDIOVASCULAR P C NPI 1225312895

NPI Information

  • NPI: 1225312895
  • Provider Name: SD CARDIOVASCULAR P C
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Doing Business As: DEARBORN CARDIOLOGY ASSOCIATES
  • Address: 22060 BEECH ST
    SUITE 200
    DEARBORN, MI
    ZIP 48124
  • Phone: (313) 563-3640

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NPI Details

SD CARDIOVASCULAR P C is a cardiovascular disease internal medicine in Dearborn, 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. SD CARDIOVASCULAR P C NPI is 1225312895. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dearborn Cardiology Associates.

The provider's business location address is:

22060 BEECH ST
SUITE 200
DEARBORN, MI
ZIP 48124-847
Phone: (313) 563-3640
Fax: (313) 724-1885

The provider's authorized official is Samir Abdallah Dabbous .
The authorized official title is President and has the following contact phone number (313) 563-3640.

The enumeration date for this NPI number is 9/30/2011 and was last updated on 5/20/2013.

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 Disease4301038418MICHIGANYes

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
10H27352OTHERMICHIGANBLUE CROSS BLUE SHIELD OF MICHIGAN
2DS2983OTHERMICHIGANMEDICARE RAILROAD
3MI5097MEDICARE 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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