NPIMap

Organization Active NPI

Michigan Cardiology Associates PC

  • Cardiovascular Disease Physician
  • Wayne, MI
National Provider Identifier
1275618027
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
EG031436 Issued in MI
Legal business name
MICHIGAN CARDIOLOGY ASSOCIATES PC
Practice address
4020 Venoy Rd
Suite 200
Wayne, MI 48184-1869
Phone
(734) 729-1900
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Authorized official

Name
Chandrakant H Pujara, MD
Title
Owner
Phone
(734) 729-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X EG031436 MI Primary

Addresses

Primary practice location

4020 Venoy Rd
Suite 200
Wayne, MI 48184-1869

Mailing address

4020 Venoy Rd
Suite 200
Wayne, MI 48184-1869
Phone (734) 729-6715

Other practice location 1

22972 Lasher road
Southfield, MI 48034
Phone (248) 355-4033

Other identifiers 1

IdentifierTypeStateIssuer
352210175OtherMITAX ID

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1275618027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 VENOY RD",
            "address_2": "SUITE 200",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841869",
            "telephone_number": "734-729-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 VENOY RD",
            "address_2": "SUITE 200",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841869",
            "telephone_number": "734-729-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22972 Lasher road",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "48034",
            "country_code": "US",
            "telephone_number": "248-355-4033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHIGAN CARDIOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "PUJARA",
        "authorized_official_first_name": "CHANDRAKANT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-729-1900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "EG031436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "352210175",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.