Organization
PRIME VASCULAR CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMIR A ELIAN M.D. (MEDICAL DOCTOR)
(810) 600-2269
Entity
Organization
Contact information
Practice address
G-5103 MILLER RD, FLINT, MI 48507-1043
(810) 600-2269
(810) 720-3367
Mailing address
G-5103 MILLER RD, FLINT, MI 48507-1043
(810) 600-2269
(810) 720-3367
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301075121
MI
207RI0011X
Interventional Cardiology Physician
4301075121
MI
2086S0129X
Vascular Surgery Physician
AA062994
MI
Other
Enumeration date
10/19/2016
Last updated
11/28/2017
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