| Heart And Vascular Care, P.c. | |
|
4771 Michigan Ave Detroit MI 48210-3247 | |
| (313) 897-2140 | |
| (313) 897-2424 |
| Full Name | Heart And Vascular Care, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4771 Michigan Ave, Detroit, Michigan |
| Authorized Official Name and Position | Babu S Koneru (SECRETARY) |
| Authorized Official Contact | 2485698989 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart And Vascular Care, P.c. 6959 Brunswick Dr Troy MI 48085-1271 Ph: (248) 274-0169 | Heart And Vascular Care, P.c. 4771 Michigan Ave Detroit MI 48210-3247 Ph: (313) 897-2140 |
| NPI Number | 1689940397 |
|---|---|
| Provider Enumeration Date | 03/27/2012 |
| Last Update Date | 03/30/2012 |
| Medicare PECOS PAC ID | 9537324231 |
|---|---|
| Medicare Enrollment ID | O20120703000036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689940397 | NPI | - | NPPES |
| Provider Name | Jay Pradhan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790755049 PECOS PAC ID: 2466413398 Enrollment ID: I20041022001106 |
| Provider Name | Carmen Visner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629596788 PECOS PAC ID: 8123386414 Enrollment ID: I20171214000573 |
| Provider Name | Tam V Truong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396418372 PECOS PAC ID: 9739586504 Enrollment ID: I20210921002093 |
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