DO GARDI MD PC (NPI# 1417176025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417176025 |
Entity Type | Organization |
Organization Name | DO GARDI MD PC |
Other Organization Name | HEART & VASCULAR CONSULTANTS PLLC |
Practice Address |
4160 John R St Suite 724 Detroit MI 48201-2020 |
Practice Telephone | 3138328888 |
Practice Fax Number | 3138324988 |
Mailing Telephone | 3138328888 |
Mailing Fax Number | 3138324988 |
Enumeration Date | 2007-04-24 |
Last Update Date | 2015-04-08 |
Authorized Official Name | DR. DELAIR OMAR GARDI (PRESIDENT) |
Authorized Official Telephone | 3138328888 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
Allopathic & Osteopathic Physicians | ||
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
4301081084 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 4527180-10 | 05 |
Other Name | Type Code |
---|---|
Heart & Vascular Consultants pllc | Doing Business As Name - Organization |
Street Address |
4160 JOHN R ST SUITE 724 |
City | DETROIT |
State | MI |
Zip Code | 48201-2020 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508864240 | Uma D Gorrepati | Internal Medicine | 4160 John R St, Suite 730, Detroit, MI 48201-2020 | 2005-07-07 |
1306466826 | Joseph Trak | Student in an Organized Health Care Education/Training Program | 4160 John R St, Suite 615, Detroit, MI 48201 | 2020-04-24 |
1437717097 | Fauzia Zubair Arain | Student in an Organized Health Care Education/Training Program | 4160 John R St, Detroit, MI 48201-2020 | 2019-05-30 |
1821520495 | Yang Liu | Student in an Organized Health Care Education/Training Program | 4160 John R St, Suite 615, Detroit, MI 48201-2020 | 2017-04-01 |
1053859256 | Karin Calviti | Audiologist | 4160 John R St, Detroit, MI 48201-2020 | 2017-02-07 |
1932551348 | Ayman Abulawi | Student in an Organized Health Care Education/Training Program | 4160 John R St, Suite 510, Detroit, MI 48201-2020 | 2016-07-09 |
1407204027 | Amir Laktineh | Student in an Organized Health Care Education/Training Program | 4160 John R St, 510, Detroit, MI 48201-2020 | 2016-05-25 |
1801243548 | Mohannad Alhasani | Internal Medicine | 4160 John R St, Suite 510, Detroit, MI 48201-2020 | 2016-05-23 |
1073976353 | Catherine Peterson | Student in an Organized Health Care Education/Training Program | 4160 John R St, Suite 930, Detroit, MI 48201-2020 | 2016-04-03 |
1598128902 | Aubrey Brian Allen | Student in an Organized Health Care Education/Training Program | 4160 John R St, 1021, Detroit, MI 48201-2020 | 2016-04-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
Find all providers in zip 48201 |
Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255738472 | Ashok Kondur Md PC | Internal Medicine | 4160 John R St Ste 525, Detroit, MI 48201-2022 | 2014-12-03 |
1912559063 | Chak Yu So | Internal Medicine | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2019-07-09 |
1801235874 | Vancuong Phi Nguyen | Internal Medicine | 3990 John R St, Detroit, MI 48201-2018 | 2013-06-22 |
1609035229 | St John Hospital and Medical Center | Internal Medicine | 22101 Moross Rd, Detroit, MI 48236-2148 | 2008-06-09 |
1114143914 | Fordson Medical Group PC | Internal Medicine | 16921 W Warren Ave, Detroit, MI 48228-3504 | 2007-04-18 |
1396876256 | Ascension St John Hospital | Internal Medicine | 22101 Moross Rd, Detroit, MI 48236-2148 | 2007-03-09 |
1881676435 | William W Oneill | Internal Medicine | 2799 W Grand Blvd, K14 Office B1417, Detroit, MI 48202-2608 | 2005-11-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528606241 | Cypress Cardiology Pa | Internal Medicine | 1286 S Linden Rd Ste A, Flint, MI 48532-3457 | 2019-12-12 |
1609342757 | Michael Ira Klein | Internal Medicine | 111 Elm St Apt 331, Birmingham, MI 48009-6346 | 2018-10-16 |
1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
1003319096 | Michigan Canton Cardiology Associates Pllc | Internal Medicine | 4020 Venoy Rd Ste 200, Wayne, MI 48184-1899 | 2018-03-15 |
1700337227 | Prime Vascular Center Pllc | Internal Medicine | G-5103 Miller Rd, Flint, MI 48507-1043 | 2016-10-19 |
1003366675 | K Heart & Vascular Institute, Pllc | Internal Medicine | 33376 Dequindre Road, Sterling Heights, MI 48310-5966 | 2016-10-07 |
1952697252 | Abiy Temesgen Nigatu | Internal Medicine | 1000 E Paris Ave Se Ste 200, Grand Rapids, MI 49546 | 2011-06-24 |
1477845824 | Ehk Endovascular Pllc | Internal Medicine | 5500 Auto Club Drive, Suite 250, Dearborn, MI 48126-2683 | 2011-05-04 |
1134410970 | Erik Henry Howell | Internal Medicine | 14555 Levan Rd Ste 203, Livonia, MI 48154 | 2011-04-27 |
1154554590 | Assad Sattar | Internal Medicine | 6050 Greenfield Rd Ste 101, Dearborn, MI 48126-6004 | 2009-09-02 |
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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.