Detroit Cardiovascular Center DCC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

4301101627 Issued in MI

Legal business name

DETROIT CARDIOVASCULAR CENTER DCC

Practice address

4160 John R St
Suite 622
Detroit, MI 48201-2020

Phone

(248) 213-6466

Fax

(248) 769-0399

NPI assigned

Apr 18, 2015

Organization subpart

No

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

Authorized official

Name

Omar Ali, MD

Title

Owner

Phone

(248) 213-6466

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1429315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429315200000",
    "number": "1609263573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 JOHN R ST",
            "address_2": "SUITE 622",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012020",
            "telephone_number": "248-213-6466",
            "fax_number": "248-769-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 JOHN R ST",
            "address_2": "SUITE 622",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012020",
            "telephone_number": "248-213-6466",
            "fax_number": "248-769-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT CARDIOVASCULAR CENTER DCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-18",
        "last_updated": "2015-04-18",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-213-6466",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301101627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Detroit Area Agency on Aging
• Detroit Association Partnerships (Daps)
• Detroit Association Partnerships (Daps)
• Detroit Beyond LLC (Detroit Beyond Care)
• Detroit Brain Institute PLLC
• Detroit Care Center ,LLC
• Detroit Caring Dentistry
• Detroit Center for Care
• Detroit Central City Community Mental Health Inc. (Central City Health)
• Detroit Central City Community Mental Health Inc.

• Cardiovascular Disease Physician in Detroit, MI
• Providers in Detroit, 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 18, 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.