Eastside Cardiovascular Medicine, P.C. in Roseville - Cardiovascular Disease
Eastside Cardiovascular Medicine, P.C. - NPI 1861493199
Eastside Cardiovascular Medicine, P.C. is a Cardiovascular Disease in Roseville, Michigan. Eastside Cardiovascular Medicine, P.C. practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Eastside Cardiovascular Medicine, P.C. is 1861493199. The last update date is 2022-07-21.
Eastside Cardiovascular Medicine, P.C.'s current location address is 25195 Kelly Rd, Roseville, Michigan. You can contact this provider via phone number 5867754594 and fax number 5867754506. The mailing address for Eastside Cardiovascular Medicine, P.C. is 25195 Kelly Rd, Roseville, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eastside Cardiovascular Medicine, P.C. |
|---|---|
| Address | 25195 Kelly Rd, Roseville, Michigan |
| Phone Number | 5867754594 |
| Fax Number | 5867754506 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Guduguntia D Vamshidhar |
| Credentials | M.D. |
| Telephone Number | 5867754594 |
NPI Number Detail
| NPI Number | 1861493199 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 25195 Kelly Rd |
|---|---|
| City | Roseville |
| State | Michigan (MI) |
| Post Code | 480664909 |
| Phone Number | 5867754594 |
| Fax Number | 5867754506 |
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 |
|---|---|---|---|
| 060E01111 | MI | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Eastside Cardiovascular Medicine, P.C. by the Centers for Medicare & Medicaid Services?
The Eastside Cardiovascular Medicine, P.C. has been assigned the NPI (National Provider Identifier) 1861493199 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Eastside Cardiovascular Medicine, P.C.'s physical address?
The Eastside Cardiovascular Medicine, P.C. is physically located at 25195 Kelly Rd, in the city of Roseville, MI, with the postal code 480664909.
What is Eastside Cardiovascular Medicine, P.C.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Eastside Cardiovascular Medicine, P.C. is Cardiovascular Disease, and the taxonomy code that categorizes this field of expertise is 207Rc0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1861493199 to Eastside Cardiovascular Medicine, P.C.?
The Centers for Medicare & Medicaid Services originally issued the 1861493199 to Eastside Cardiovascular Medicine, P.C. on 2005-08-09.
As of what date was the information regarding Eastside Cardiovascular Medicine, P.C., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Eastside Cardiovascular Medicine, P.C., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-07-21.
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