Cardiovascular Tele Diagnostics PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CARDIOVASCULAR TELE DIAGNOSTICS PC

Practice address

3057 Fantail CT
Rochester Hills, MI 48309-4296

Phone

(216) 502-0029

NPI assigned

May 22, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Bashir F Al-Kaddoumi, MD

Title

Owner

Phone

(216) 502-0026

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1144632308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3057 FANTAIL CT",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483094296",
            "telephone_number": "216-502-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3057 FANTAIL CT",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483094296",
            "telephone_number": "216-502-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR TELE DIAGNOSTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "AL-KADDOUMI",
        "authorized_official_first_name": "BASHIR",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-502-0026",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Jo Cann, RN
• Arthur Ronald Cannon Jr.
• Capital Healthcare LLC
• Cardinal Healthcare,LLC
• Cardiovascular Enterprises PLLC
• Care First Residential LLC
• Caring Angels Unlimited
• Shannon Marie Carl, LMSW-C, SSW
• Adria Michelle Carney, L.M.S.W.
• Kathleen Suzanne Carney, OTR

• Cardiovascular Disease Physician in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.