Organization
HEALTHY HEART CARDIOLOGY, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDEEP KHURANA MD (OWNER)
(616) 291-6952
Entity
Organization
Contact information
Practice address
3181 PRAIRIE ST SW, SUITE 112, GRANDVILLE, MI 49418-2097
(616) 291-6952
(866) 966-9677
Mailing address
3181 PRAIRIE ST SW, SUITE 112, GRANDVILLE, MI 49418-2097
(616) 291-6952
(866) 966-9677
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301053818
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0603410481
BCBS
MI
05
—
1144416264
—
MI
Enumeration date
09/21/2007
Last updated
01/27/2014
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