CARDIOVASCULAR TELE DIAGNOSTICS PC (NPI# 1144632308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144632308 |
| Entity Type | Organization |
| Organization Name | CARDIOVASCULAR TELE DIAGNOSTICS PC |
| Practice Address |
3057 Fantail Ct Rochester Hills MI 48309-4296 |
| Practice Telephone | 2165020029 |
| Mailing Telephone | 2165020029 |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-05-22 |
| Authorized Official Name | MR. BASHIR F AL-KADDOUMI (OWNER) |
| Authorized Official Telephone | 2165020026 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
3057 FANTAIL CT |
| City | ROCHESTER HILLS |
| State | MI |
| Zip Code | 48309-4296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255874541 | Tracy Rutherford | Licensed Practical Nurse | 1613 Star Beit Drive, Rochester Hills, MI 48309 | 2016-11-18 |
| 1679016901 | Christian Ojimadu | Registered Nurse | 1613 Star-batt Drive, Rochester Hills, MI 48309 | 2016-11-18 |
| 1841749173 | Julian Alexander Prosser | Social Worker | 1800 Star Batt Drive, Rochester Hills, MI 48309 | 2016-09-28 |
| 1821472861 | Oakland University | Orthopaedic Surgery | 201 Athletics Ctr, Rochester, MI 48309 | 2015-07-18 |
| 1831438704 | Deborah Marie Tierney | Nurse Practitioner | 2200 Squirrel Road Human Health Building, Oakland University School of Nursing Room 2038, Rochester, MI 48309 | 2013-02-12 |
| 1396021242 | Karen Renee Farrar | Social Worker | 1344 Chestnut Cir, Rochester Hills, MI 48309 | 2011-10-24 |
| 1083922389 | Michigan V & P Management, LLC | Specialist | 1886 W. Auburn #300, Rochester Hills, MI 48309 | 2010-09-21 |
| 1689894032 | Steven L. Lipton Dds, PC | Dentist | 111 Rochdale Dr, Rochester Hills, MI 48309 | 2007-04-26 |
| 1083735773 | Jennifer R Haener | Family Medicine | 2940 Crooks Road, Rochester Hills, MI 48309 | 2007-04-02 |
| 1215079645 | Eva Colleen Frances Mondor | Counselor | 155 Rochdale Dr. S, Suite B, Rochester Hills, MI 48309 | 2007-02-13 |
| Find all providers in zip 48309 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457437469 | John A. Sallach | Internal Medicine | 1701 South Boulevard E, Suite 390, Rochester Hills, MI 48307-6117 | 2006-10-31 |
| 1083649545 | Chandra S Reddy | Internal Medicine | 1854 W Auburn Rd Ste 100b, Rochester Hills, MI 48309-3868 | 2006-07-12 |
| 1508807645 | David G Schaefer | Internal Medicine | 95 Chalmers Dr, Rochester Hills, MI 48309-1843 | 2006-06-09 |
| 1619937885 | Rajendra Prasad | Internal Medicine | 645 Barclay Cir, Rochester Hills, MI 48307-5804 | 2006-03-23 |
| 1245233352 | Martin F Mcgough | Internal Medicine | 1701 South Blvd E, Ste 390, Rochester Hills, MI 48307-6117 | 2005-05-23 |
| 1750749974 | Zakwan Mahjoub | Internal Medicine | 1349 S Rochester Rd, Suite 105, Rochester Hills, MI 48307-3150 | 2016-02-02 |
| 1578907994 | A Bahjat Shahbandar Md PC | Internal Medicine | 1349 S Rochester Rd, Suite 105, Rochester Hills, MI 48307-3150 | 2013-04-29 |
| 1699780270 | Rochester Cardiology Associates, PC | Internal Medicine | 455 S Livernois Rd, Suite B23, Rochester Hills, MI 48307-2578 | 2006-07-30 |
| 1043257280 | Academic Cardiology Associates, PC | Internal Medicine | 1701 South Blvd E, Suite 390, Rochester Hills, MI 48307-6122 | 2006-05-31 |
| 1447212642 | Divakar Pai | Internal Medicine | 645 Barclay Cir, Rochester Hills, MI 48307-5804 | 2006-04-04 |
| Find all providers in ROCHESTER HILLS | ||||
| City | ROCHESTER HILLS |
| Zip Code | 48309 |
Please comment or provide details below to improve the information on CARDIOVASCULAR TELE DIAGNOSTICS PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.