Organization
MICHIGAN CARDIOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDRAKANT H PUJARA MD (OWNER)
(734) 729-1900
Entity
Organization
Contact information
Practice address
4020 VENOY RD, SUITE 200, WAYNE, MI 48184-1869
(734) 729-1900
Mailing address
4020 VENOY RD, SUITE 200, WAYNE, MI 48184-1869
(734) 729-6715
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
EG031436
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
352210175
TAX ID
MI
Enumeration date
10/26/2006
Last updated
03/08/2019
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