| Heart & Vascular Consultants Pllc | |
|
4160 John R St Suite 724 Detroit MI 48201-2020 | |
| (313) 832-8888 | |
| (313) 832-4988 |
| Full Name | Heart & Vascular Consultants Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4160 John R St, Detroit, Michigan |
| Authorized Official Name and Position | Delair Omar Gardi (PRESIDENT) |
| Authorized Official Contact | 3138328888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart & Vascular Consultants Pllc 4160 John R St Suite 724 Detroit MI 48201-2020 Ph: (313) 832-8888 | Heart & Vascular Consultants Pllc 4160 John R St Suite 724 Detroit MI 48201-2020 Ph: (313) 832-8888 |
| NPI Number | 1417176025 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 04/08/2015 |
| Medicare PECOS PAC ID | 3375642150 |
|---|---|
| Medicare Enrollment ID | O20070619000644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417176025 | NPI | - | NPPES |
| 4527180-10 | Medicaid | MI |
| Provider Name | Delair Omar Gardi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205874302 PECOS PAC ID: 2365419892 Enrollment ID: I20040914001065 |
| Provider Name | Kelly Ann Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104864222 PECOS PAC ID: 9335196732 Enrollment ID: I20050407000646 |
| Provider Name | Mahmoud Othman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508811456 PECOS PAC ID: 5799796868 Enrollment ID: I20060606000215 |
| Provider Name | Hammam D Zmily |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275736886 PECOS PAC ID: 3375610165 Enrollment ID: I20081001000500 |
| Provider Name | Moshrik L Abd-alamir |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1386879054 PECOS PAC ID: 6002070356 Enrollment ID: I20120618000141 |
| Provider Name | Aziz A Alkatib |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043417926 PECOS PAC ID: 8426116005 Enrollment ID: I20140714000876 |
| Provider Name | Carlos R Oviedo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780949214 PECOS PAC ID: 8325340292 Enrollment ID: I20170512001554 |
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