V GOBURDHUN MD PC (NPI# 1346400868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346400868 |
| Entity Type | Organization |
| Organization Name | V GOBURDHUN MD PC |
| Practice Address |
14555 Levan Rd 403 Livonia MI 48154-5083 |
| Practice Telephone | 7344624000 |
| Practice Fax Number | 7344625997 |
| Mailing Telephone | 7344624000 |
| Mailing Fax Number | 7344625997 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-07-29 |
| Authorized Official Name | DR. VIJAY GOBURDHUN (DOCTOR) |
| Authorized Official Telephone | 7344624000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
VG031529 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1057661 | 05 | |
| MI | BLUE CROSS BLUE SHIELD OF MI | 0608215311 | 01 |
| Street Address |
14555 LEVAN RD 403 |
| City | LIVONIA |
| State | MI |
| Zip Code | 48154-5083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508862707 | Allen S Mehler | Podiatrist | 14555 Levan Rd, Ste E302, Livonia, MI 48154-5083 | 2005-06-22 |
| 1861931693 | Natalie Eve Khoury | Physician Assistant | 14555 Levan Rd, Suite 116, Livonia, MI 48154-5083 | 2017-02-13 |
| 1013365097 | Virtue Lung Institute PC | Clinic/Center | 14555 Levan Rd, Ste 309, Livonia, MI 48154-5083 | 2016-05-31 |
| 1376998682 | Kristina Lynn Benford | Nurse Practitioner | 14555 Levan Rd, Suite 113, Livonia, MI 48154-5083 | 2016-04-25 |
| 1134583552 | University Neurosurgical Associates, PC | Neurological Surgery | 14555 Levan Rd, Ste. 202, Livonia, MI 48154-5083 | 2016-04-12 |
| 1477929255 | Natalie Lois Crook | Registered Nurse | 14555 Levan Rd, Suite 311, Livonia, MI 48154-5083 | 2015-08-17 |
| 1831538545 | Michigan Surgery Specialists, P.C. | Hearing Aid Equipment | 14555 Levan Rd, Suite 303, Livonia, MI 48154-5083 | 2013-06-17 |
| 1942574058 | Mendelson Orthopedic Physical Therapy | Physical Therapist | 14555 Levan Rd, Suite 215, Livonia, MI 48154-5083 | 2012-03-07 |
| 1225306392 | St Mary Mercy Physician Practices | Clinic/Center | 14555 Levan Rd, Suite 112, Livonia, MI 48154-5083 | 2011-12-05 |
| 1942517511 | Sarah Shamoon | Physical Therapist | 14555 Levan Rd, Livonia, MI 48154-5083 | 2010-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386227 | Iha Health Service Corporation | Durable Medical Equipment & Medical Supplies | Iha Associates In Podiatry, 14555 Levan Road Suite 116, Livonia, MI 48154 | 2020-08-17 |
| 1972130136 | Cameron Strong | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Hospital, 36475 Five Mile Road, Livonia, MI 48154 | 2020-03-26 |
| 1447894019 | Nova Pharmacy | Pharmacy | 15140 Levan Rd, Suite 40, Livonia, MI 48154 | 2019-11-06 |
| 1356992242 | Milly Baydoun | Registered Nurse | 36650 Five Mile Rd Ste 106, Livonia, MI 48154 | 2019-09-23 |
| 1861059396 | Align Family Chiropractic LLC | Clinic/Center | 19047 Middlebelt Rd, Livonia, MI 48154 | 2019-05-21 |
| 1619442159 | Ashley Vaduva | Counselor | 37677 Professional Center Dr Ste 110c, Livonia, MI 48154 | 2018-10-11 |
| 1245719434 | Myron Rubin Dds PC | Dentist | 15357 Frmington Rd, Livonia, MI 48154 | 2018-08-09 |
| 1720578636 | New Beginnings Addiction & Counseling Services | Counselor | 27677 Professional Center Drive Suite 135, Livonia, MI 48154 | 2018-05-16 |
| 1831693670 | Robust Rehab Services, Inc. | Occupational Therapist | 32854 5 Mile Rd, Livonia, MI 48154 | 2018-03-19 |
| 1184139644 | Nova Pharmacy LLC | Pharmacy | 15140 Levan Rd Suite 40, Livonia, MI 48154 | 2017-12-06 |
| Find all providers in zip 48154 | ||||
| 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 |
|---|---|---|---|---|
| 1639644305 | Metropolitan Cardiovascular | Internal Medicine | 28667 Bayberry Ct E, Livonia, MI 48154-3869 | 2018-10-09 |
| 1316057391 | Jose L. Evangelista | Internal Medicine | 10475 Farmington Rd, Livonia, MI 48150-5704 | 2006-08-30 |
| 1053429100 | Myrna Arguelles Malabonga | Internal Medicine | 10475 Farmington, Livonia, MI 48150 | 2006-08-28 |
| 1306951801 | Yousef Daneshvar | Internal Medicine | 33433 6 Mile Rd, Livonia, MI 48152-3129 | 2006-08-21 |
| 1174571947 | Jowher Khaleel | Internal Medicine | 20000 Farmington Rd, Bldg E, Livonia, MI 48152-1408 | 2006-05-04 |
| 1346212800 | Andrew J Borin | Internal Medicine | 38525 8 Mile Rd, Livonia, MI 48152-1012 | 2006-02-07 |
| 1851371793 | Raymond F Gadowski | Internal Medicine | 37799 Professional Center Dr, Suite 105, Livonia, MI 48154-1153 | 2006-01-18 |
| 1073924189 | Ashraf Saleh | Internal Medicine | 14555 Levan Rd Ste 203, Livonia, MI 48154-5085 | 2014-05-12 |
| 1912298902 | Carlos A Godoy M D P C | Internal Medicine | 17920 Farmington Rd, Livonia, MI 48152-3104 | 2011-04-25 |
| 1659675031 | Barry K Lewis Do Plc | Internal Medicine | 37799 Professional Center Dr, Suite 105, Livonia, MI 48154-1153 | 2010-12-29 |
| Find all providers in LIVONIA | ||||
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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.