MICHIGAN INSTITUTE OF VASCULAR AND INTERVENTIONAL RADIOLOGY, PLLC (NPI# 1285050641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285050641 |
Entity Type | Organization |
Organization Name | MICHIGAN INSTITUTE OF VASCULAR AND INTERVENTIONAL RADIOLOGY, PLLC |
Other Organization Name | MIVIR, PLLC |
Practice Address |
23800 Ford Rd Dearborn Heights MI 48127-3200 |
Mailing Address |
1756 Kinmore St Dearborn Heights MI 48127-3415 |
Practice Telephone | 3132748181 |
Enumeration Date | 2014-03-10 |
Last Update Date | 2014-03-25 |
Authorized Official Name | ALI N HARB (PRESIDENT) |
Authorized Official Telephone | 3135809858 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
MIVIR, PLLC | Doing Business As Name - Organization |
Street Address |
23800 FORD RD |
City | DEARBORN HEIGHTS |
State | MI |
Zip Code | 48127-3200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235122441 | Comprehensive Rehab Services, Inc. | Specialist | 23800 Ford Rd, Dearborn Heights, MI 48127-3200 | 2005-08-24 |
1669023511 | Mcare Pharmacy | Pharmacy | 23800 Ford Rd, Dearborn Heights, MI 48127-3200 | 2019-09-23 |
1801947791 | Ford-tel Pharmacy Inc | Pharmacy | 23800 Ford Rd, Dearborn Heights, MI 48127 | 2007-01-16 |
1578534467 | H & R Medical Practice, PC | Family Medicine | 23800 Ford Rd, Dearborn Heights, MI 48127-3200 | 2006-01-30 |
1942280490 | Yasser T Hammoud | Family Medicine | 23800 Ford Rd, Dearborn Heights, MI 48127-3200 | 2006-01-20 |
1669452116 | Alexandra A Riabova | Internal Medicine | 23800 Ford Rd, Dearborn Heights, MI 48127-3200 | 2006-01-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952945842 | Lashay Donnetta Byars Biles | Licensed Practical Nurse | 25639 Ford Rd., Dearborn Heights, MI 48127 | 2019-11-04 |
1174098982 | George Mousa Mufarreh | Specialist/Technologist, Other | 21630 Breechcrest St., Dearborn Heights, MI 48127 | 2018-10-08 |
1285110312 | Fastcaremd Urgent Care PC | Clinic/Center | 6012 N Vernon St, Dearborn Heights, MI 48127 | 2018-07-11 |
1356845689 | Wayne Medical Supply | Durable Medical Equipment & Medical Supplies | 26808 Simone St., Dearborn Hts., MI 48127 | 2018-03-21 |
1538516729 | Reliable Rehab LLC | Clinic/Center | 22101 W. Warren Ave, Dearborn Heights, MI 48127 | 2016-05-18 |
1407232739 | Tri-care Physical Therpay, LLC | Clinic/Center | 24100 W. Warren Ave, Dearborn Heights, MI 48127 | 2015-08-10 |
1083012322 | Golden Physical Therapy Pllc | Internal Medicine | 22243 West Warren St, Dearborn Heights, MI 48127 | 2014-12-19 |
1225448079 | Kristen Georgina-elizabeth Bogden | Occupational Therapist | 22241 Ann Arbor Trail, Dearborn Heights, MI 48127 | 2014-05-02 |
1306276183 | Qazi Healthcare | Family Medicine | 25150 Ford Rd, Ste 100, Dearborn Heights, MI 48127 | 2013-11-15 |
1497193957 | Keyyan Medical Pllc | Internal Medicine | 22239 West Warren Ave, Dearborn Heights, MI 48127 | 2013-06-06 |
Find all providers in zip 48127 |
Taxonomy Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073170221 | Mvc Clinical Practice - Mi PC | Radiology | 7125 Orchard Lake Rd Ste 120, West Bloomfield, MI 48322-3627 | 2019-05-23 |
1861905739 | Jacastillano Pllc | Radiology | 5310 Breeze Hill Pl, Troy, MI 48098-2725 | 2017-11-14 |
1366852535 | P. Adler, PC | Radiology | 26711 Woodward Ave Suite Ll1, Huntington Woods, MI 48070 | 2014-04-28 |
1245664119 | Michigan Institute for Minimally Invasive & Vascular Therapies PC | Radiology | 2370 S Linden Rd Ste 300b, Flint, MI 48532-5429 | 2013-08-28 |
1396188595 | Haiying Yu | Radiology | 1215 E Michigan Ave Fl 4, Lansing, MI 48912-1811 | 2013-04-08 |
1144549692 | Tatulya Tiwari | Radiology | 1500 E. Medical Center Dr #b1f510k, Rad: Diagnostic Radiology, Ann Arbor, MI 48109-5030 | 2010-05-24 |
1811164437 | Faiz D Francis | Radiology | 903 Wesley Dr, Troy, MI 48098-5622 | 2008-05-13 |
1851411227 | Chutcharn Kongphanich | Radiology | 1044 Island Drive Ct Apt 104, Ann Arbor, MI 48105-2075 | 2007-03-30 |
1629146527 | Advanced Diagnostic Imaging Interventional & Vascular Center | Radiology | 5462 State St, Saginaw, MI 48603-3678 | 2006-12-01 |
1780630541 | Michael E Lulenski | Radiology | 22731 Newman St Ste 250, Dearborn, MI 48124-1930 | 2006-05-25 |
Find all providers with the same taxonomy |
City | DEARBORN HEIGHTS |
Zip Code | 48127 |
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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.