Provider Type Icon

HEART AND VASCULAR INSTITUTE NPI 1679030530


NPI Information

NPI: 1679030530
Provider Name: HEART AND VASCULAR INSTITUTE
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
22720 MICHIGAN AVE STE 200
DEARBORN, MI
ZIP 48124
Phone: (313) 791-3000
Get Directions

HEART AND VASCULAR INSTITUTE 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. HEART AND VASCULAR INSTITUTE NPI is 1679030530. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

22720 MICHIGAN AVE STE 200
DEARBORN, MI
ZIP 48124-021
Phone: (313) 791-3000

The provider's authorized official is Hanady Beydoun .
The authorized official title is Office Manager and has the following contact phone number (313) 993-7777.

The enumeration date for this NPI number is 2/27/2019 and was last updated on 2/27/2019.


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
1207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
2363AM0700XPhysician AssistantMedicalNo
3363LA2200XNurse PractitionerAdult HealthNo
4207RC0000XInternal 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
112091363OTHERCAQH
212345659OTHERCAQH
31417010315MEDICAIDMICHIGAN
41932149838MEDICAIDMICHIGAN
514396095OTHERCAQH
61912263914MEDICAIDMICHIGAN
711615581OTHERCAQH
81326291428MEDICAIDMICHIGAN
91881916435MEDICAIDMICHIGAN
1011892261OTHERCAQH
1112063174OTHERCAQH
1212440670OTHERCAQH
131457687584MEDICAIDMICHIGAN
1412151256OTHERCAQH
1512248863OTHERCAQH
161043473382MEDICAIDMICHIGAN
171962427260MEDICAIDMICHIGAN
181144341645MEDICAIDMICHIGAN
1912718965OTHERCAQH
201831154798MEDICAIDMICHIGAN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.