Issac X Grinberg in Southfield - Cardiovascular Disease
Issac X Grinberg - NPI 1790768257
Issac X Grinberg is a Cardiovascular Disease in Southfield, Michigan. Issac X Grinberg practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Issac X Grinberg is 1790768257. The last update date is 2014-01-13.
Issac X Grinberg's current location address is 22250 Providence Dr, Southfield, Michigan. You can contact this provider via phone number 2485529858 and fax number 2485529510. The mailing address for Issac X Grinberg is 22250 Providence Dr, Southfield, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Issac X Grinberg |
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Address | 22250 Providence Dr, Southfield, Michigan |
Phone Number | 2485529858 |
Fax Number | 2485529510 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1790768257 |
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Provider Enumeration Date | 2005-11-29 |
Last Updated Date | 2014-01-13 |
Provider Mailing Address Detail
Address | 22250 Providence Dr |
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City | Southfield |
State | Michigan (MI) |
Post Code | 480754825 |
Phone Number | 2485529858 |
Fax Number | 2485529510 |
Provider's Primary Taxonomy Detail
Speciality | Cardiovascular Disease |
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Taxonomy | 207Rc0000X |
Licence No | 4301050938 |
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 |
---|---|---|---|
2959599 | MI | -- | |
OF360210 | MI | MEDICARE ID TYPE UNSPECIFIED |
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What is the Issac X Grinberg's 1790768257?
The Issac X Grinberg's NPI (National Provider Identifier) Number is 1790768257. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Issac X Grinberg?
The Issac X Grinberg is physically situated at 22250 Providence Dr, in the city of Southfield, state of MI, with the postal code 480754825.
What is Issac X Grinberg's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Issac X Grinberg is Cardiovascular Disease, and the taxonomy classification code that categorizes this area of expertise is 207Rc0000X.
On what date did Issac X Grinberg receive its 1790768257 assignment from the Centers for Medicare & Medicaid Services?
The Issac X Grinberg was assigned its 1790768257 on 2005-11-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Issac X Grinberg's details last updated?
The information pertaining to the Issac X Grinberg, including its address, specialty, and other details, was most recently updated on 2014-01-13.