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V GOBURDHUN MD PC NPI 1346400868


NPI Information

NPI: 1346400868
Provider Name: V GOBURDHUN MD PC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
14555 LEVAN RD
403
LIVONIA, MI
ZIP 48154
Phone: (734) 462-4000
Get Directions

V GOBURDHUN MD PC is a cardiovascular disease internal medicine in Livonia, 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. V GOBURDHUN MD PC NPI is 1346400868. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14555 LEVAN RD
403
LIVONIA, MI
ZIP 48154-083
Phone: (734) 462-4000
Fax: (734) 462-5997

The provider's authorized official is Vijay Goburdhun .
The authorized official title is Doctor and has the following contact phone number (734) 462-4000.

The enumeration date for this NPI number is 6/10/2008 and was last updated on 7/29/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseVG031529MICHIGANYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B46144MEDICARE UPINMICHIGAN
20608215311OTHERMICHIGANBLUE CROSS BLUE SHIELD OF MI
31057661MEDICAIDMICHIGAN

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: 4/28/2024

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