Organization
MICHIGAN CANTON CARDIOLOGY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJESH GULATI MD (DIRECTOR)
(734) 326-0740
Entity
Organization
Contact information
Practice address
2050 N HAGGERTY RD STE B2, CANTON, MI 48187-3795
(734) 326-0740
(734) 326-0785
Mailing address
1212 HIDDEN LAKE DR, BLOOMFLD HLS, MI 48302-1955
(734) 729-6710
(734) 729-6715
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4301035830
—
MI
Enumeration date
03/15/2018
Last updated
05/24/2021
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