Organization
CARDIOVASCULAR TELE DIAGNOSTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BASHIR F AL-KADDOUMI MD (OWNER)
(216) 502-0026
Entity
Organization
Contact information
Practice address
3057 FANTAIL CT, ROCHESTER HILLS, MI 48309-4296
(216) 502-0029
Mailing address
3057 FANTAIL CT, ROCHESTER HILLS, MI 48309-4296
(216) 502-0029
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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