The Heart Institute PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

5101012443 Issued in MI

Legal business name

THE HEART INSTITUTE PC

Practice address

2421 Monroe St
Suite 101
Dearborn, MI 48124-3043

Phone

(313) 561-1520

Fax

(313) 561-1530

NPI assigned

May 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kalil M Masri, DO

Title

Managing Agent/Owner

Phone

(313) 561-1520

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265483978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 MOMENTUM PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895318",
            "telephone_number": "313-561-1520",
            "fax_number": "313-561-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 MONROE ST",
            "address_2": "SUITE 101",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243043",
            "telephone_number": "313-561-1520",
            "fax_number": "313-561-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEART INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASRI",
        "authorized_official_first_name": "KALIL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING AGENT/OWNER",
        "authorized_official_telephone_number": "313-561-1520",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "5101012443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Dearborn, MI
• Providers in Dearborn, 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 Aug 22, 2020; 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.