Organization
CARDIAC AND VASCULAR ASSOCIATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRITKUMAR C PATEL M.D. (OWNER REPRESENTATIVE)
(248) 333-1170
Entity
Organization
Contact information
Practice address
43344 WOODWARD AVE, STE. 111, BLOOMFIELD HILLS, MI 48302-5049
(248) 333-1170
(248) 333-1175
Mailing address
645 BARCLAY CIR, ROCHESTER HILLS, MI 48307-5804
(248) 844-1010
(248) 844-8098
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F38249
BCBSM
MI
Enumeration date
12/04/2008
Last updated
03/04/2010
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