Organization
HALO MEDICAL GROUP PLLC
Active
Organization
HALO MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHIR D ELDER M.D. (PRESIDENT)
(313) 993-7777
Entity
Organization
Contact information
Practice address
4160 JOHN R ST STE 510, DETROIT, MI 48201
(313) 993-7777
(313) 993-2563
Mailing address
22720 MICHIGAN AVE STE 200, DEARBORN, MI 48124-2021
(313) 791-3000
(313) 791-2800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105174942
—
MI
01
—
I60238
UPIN
MI
Enumeration date
04/22/2010
Last updated
07/27/2018
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