Organization
DOWNRIVER HEART AND VASCULAR SPECIALISTS PC
Active
Other names
K A GOWDA MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAWNA LOWE (PRACTICE MANAGER)
(734) 282-4800
Entity
Organization
Contact information
Practice address
15150 FORT ST, SOUTHGATE, MI 48195-1302
(734) 282-4800
(734) 282-9302
Mailing address
15150 FORT ST, SOUTHGATE, MI 48195-1302
(734) 282-4800
(734) 282-5039
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H23923
BLUE CROSS GROUP NUMBER
MI
05
—
MEDICAID
—
MI
01
—
RR MEDICARE
DF1147
MI
Enumeration date
08/15/2006
Last updated
05/08/2024
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