Mmg 1 Pc is a Nuclear Cardiology in Farmington Hills, Michigan. Mmg 1 Pc practices all healthcare services and medical treatments related to Nuclear Cardiology. The NPI Number for Mmg 1 Pc is 1912933540. The last update date is 2021-12-23.
Mmg 1 Pc's current location address is 32255 Northwestern Hwy Ste 100, Farmington Hills, Michigan. You can contact this provider via phone number 2489450000 and fax number 2489451819. The mailing address for Mmg 1 Pc is 32255 Northwestern Hwy Ste 100, Farmington Hills, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mmg 1 Pc |
|---|---|
| Address | 32255 Northwestern Hwy Ste 100, Farmington Hills, Michigan |
| Phone Number | 2489450000 |
| Fax Number | 2489451819 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Trivax A. Geoffrey |
| Credentials | M.D. |
| Telephone Number | 2488511430 |
NPI Number Detail
| NPI Number | 1912933540 |
|---|---|
| Provider Enumeration Date | 2006-06-24 |
| Last Updated Date | 2021-12-23 |
Provider Mailing Address Detail
| Address | 32255 Northwestern Hwy Ste 100 |
|---|---|
| City | Farmington Hills |
| State | Michigan (MI) |
| Post Code | 483341573 |
| Phone Number | 2489450000 |
| Fax Number | 2489451819 |
Provider's Primary Taxonomy Detail
| Speciality | Nuclear Cardiology |
|---|---|
| Taxonomy | 207Un0901X |
|
Definition: A nuclear medicine physician who specializes in nuclear cardiology. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CJ8411 | MI | MEDICARE ID TYPE UNSPECIFIED | |
| 700F314390 | MI | BLUE SHIELD GROUP | |
| CH5573 | MI | MEDICARE ID TYPE UNSPECIFIED | |
| DA4193 | MI | MEDICARE ID TYPE UNSPECIFIED | |
| DD1976 | MI | MEDICARE IS TYPE UNSPECIFIED | |
| CF9345 | MI | MEDICARE IS TYPE UNSPECIFIED | |
| 0M96210 | MI | MEDICARE PTAN | |
| 1912933540 | MI | -- | |
| CG6178 | MI | MEDICARE ID TYPE UNSPECIFIED |
Post Comment/ Review Below
What is the Mmg 1 Pc's unique identification number?
The Mmg 1 Pc has been assigned the NPI (National Provider Identifier) Number 1912933540 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Mmg 1 Pc is located?
The Mmg 1 Pc is situated at the following address: 32255 Northwestern Hwy Ste 100, Farmington Hills, MI, 483341573.
What is Mmg 1 Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mmg 1 Pc is Nuclear Cardiology, and the corresponding taxonomy classification code for this specialized field is 207Un0901X.
When was the Mmg 1 Pc's 1912933540 issued?
The Mmg 1 Pc's 1912933540 was issued on 2006-06-24.
As of what date were the details pertaining to Mmg 1 Pc last refreshed?
The information related to the Mmg 1 Pc, including its address, specialty, and other relevant details, was last updated on 2021-12-23.