Millennium Medical Group South Pc in Redford - Cardiovascular Disease

Millennium Medical Group South Pc - NPI 1265468623

Millennium Medical Group South Pc is a Cardiovascular Disease in Redford, Michigan. Millennium Medical Group South Pc practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Millennium Medical Group South Pc is 1265468623. The last update date is 2008-08-19.

Millennium Medical Group South Pc's current location address is 25241 Grand River Ave, Redford, Michigan. You can contact this provider via phone number 3135383099 and fax number 3135383282. The mailing address for Millennium Medical Group South Pc is 25241 Grand River Ave, Redford, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Millennium Medical Group South Pc
Address 25241 Grand River Ave, Redford, Michigan
Phone Number 3135383099
Fax Number 3135383282
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Slaim Abraham
Credentials D.O.
Telephone Number 3135383099

NPI Number Detail

NPI Number 1265468623
Provider Enumeration Date 2006-06-25
Last Updated Date 2008-08-19

Provider Mailing Address Detail

Address 25241 Grand River Ave
City Redford
State Michigan (MI)
Post Code 482401404
Phone Number 3135383099
Fax Number 3135383282

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
500H255490 MI BLUE SHIELD
DD9487 MI MEDICARE ID TYPE UNSPECIFIED
700H222490 MI BLUE SHIELD GROUP

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FAQs about Millennium Medical Group South Pc

What is the unique identifier code issued to Millennium Medical Group South Pc by the Centers for Medicare & Medicaid Services?

The Millennium Medical Group South Pc has been assigned the NPI (National Provider Identifier) 1265468623. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Millennium Medical Group South Pc's facilities are geographically located?

The facilities of Millennium Medical Group South Pc are physically situated at the following location: 25241 Grand River Ave, Redford, MI, 482401404.

What is Millennium Medical Group South Pc's area of expertise and its corresponding taxonomy classification?

The Millennium Medical Group South Pc's field of specialization is Cardiovascular Disease, and it falls under the taxonomy code 207Rc0000X, which categorizes healthcare providers based on their areas of practice.

When did Millennium Medical Group South Pc receive its 1265468623 assignment?

The Millennium Medical Group South Pc was assigned its 1265468623 on 2006-06-25, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Millennium Medical Group South Pc most recently updated or revised?

The information pertaining to Millennium Medical Group South Pc, including its address, specialty, and other relevant details, was last updated or revised on 2008-08-19.

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