Michigan Comprehensive Cardiovascular Care PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

4301062045 Issued in MI

Legal business name

MICHIGAN COMPREHENSIVE CARDIOVASCULAR CARE PLLC

Practice address

27209 Lahser Rd
Suite 226
Southfield, MI 48034-8403

Phone

(248) 945-1220

Fax

(248) 945-1222

NPI assigned

Apr 15, 2015

Last updated

Apr 15, 2015By 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

Mukarram Siddiqui, M.D.

Title

Owner

Phone

(248) 945-1220

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1326434416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27209 LAHSER RD",
            "address_2": "SUITE 226",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348403",
            "telephone_number": "248-945-1220",
            "fax_number": "248-945-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27209 LAHSER RD",
            "address_2": "SUITE 226",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348403",
            "telephone_number": "248-945-1220",
            "fax_number": "248-945-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN COMPREHENSIVE CARDIOVASCULAR CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-15",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "MUKARRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-945-1220",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301062045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "4301062045",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michigan Brain & Spine Physicians Group
• Michigan Care Management Solutions LLC
• Michigan Care Partners LLC
• Michigan Center for Physical Therapy Inc
• Michigan Colon & Rectal Surgeons, PC
• Michigan Comprehensive Spine & Rehab PC
• Michigan Cornea Consultants PC
• Michigan Cosmetic & Reconstructive
• Michigan Cosmetic & Reconstructive Surgery PLLC
• Michigan Dental Sleep Apnea Institute

• Cardiovascular Disease Physician in Southfield, MI
• Providers in Southfield, 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 Apr 15, 2015; 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.