# EHK ENDOVASCULAR PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EHK Endovascular PLLC, Michigan Outpatient Vascular Institute LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477845824
- **Authorized official:** DR. ELIAS H KASSAB M.D. (OWNER)
- **Authorized official phone:** (313) 359-8300

## Contact information

- **Practice address:** 5250 AUTO CLUB DR STE 170, DEARBORN, MI 48126-2619
- **Practice address phone:** (313) 359-8300
- **Practice address fax:** (313) 359-8305
- **Mailing address:** 5250 AUTO CLUB DR STE 170, DEARBORN, MI 48126-2619
- **Mailing address phone:** (313) 359-8300
- **Mailing address fax:** (313) 359-8036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | 4301047006 | MI | — |
| 207RI0011X | Interventional Cardiology Physician | 4301047006 | MI | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 05/04/2011
- **Last updated:** 01/12/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0H27482 | BCN GROUP PIN | MI |
| 01 | — | DT5132 | RAILROAD MEDICARE GP PTAN | MI |