Eastside Cardiology Pc
LBN: Eastside Cardiovascular Medicine, P.C.
Eastside Cardiology Pc is an health care organization with primary practice located at 25195 Kelly Road Suite A, Roseville MI 48066-4909. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty.
Eastside Cardiovascular Medicine, P.C. can be contacted via phone (586) 775-4594, or through Guduguntia, Vamshidhar D via phone (586) 775-4594.
Contact Information
Primary practice address
25195 Kelly Road Suite A
Roseville MI 48066-4909
Phone: (586) 775-4594
Fax: (586) 775-4506
Website:
Authorized official contact:
Name: Guduguntia, Vamshidhar D Doctor of Medicine (MD)
Phone: (586) 775-4594
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ||
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X |
Profile Details
| NPI number | 1861493199 |
|---|---|
| LBN Legal business name | Eastside Cardiovascular Medicine, P.C. |
| DBA Doing business as | Eastside Cardiology Pc |
| Authorized official | Guduguntia, Vamshidhar D Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861493199 | NPPES |
| Michigan | Other | 060E01111 | BLUE CROSS BLUE SHIELD |
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