Halo Medical Group Pllc
LBN: Halo Medical Group Pllc
Halo Medical Group Pllc is an health care organization with primary practice located at 4160 John R St Ste 510 , Detroit MI 48201. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty.
Halo Medical Group Pllc can be contacted via phone (313) 993-7777, or through Elder, Mahir D via phone (313) 993-7777.
Contact Information
Primary practice address
4160 John R St Ste 510
Detroit MI 48201
Phone: (313) 993-7777
Fax: (313) 993-2563
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ||
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | ||
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1811214489 |
|---|---|
| LBN Legal business name | Halo Medical Group Pllc |
| DBA Doing business as | |
| Authorized official | Elder, Mahir D Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 22nd, 2010 |
| Last updated | Jul 27th, 2018 - about 6 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 | 1811214489 | NPPES |
| Michigan | MEDICAID | 105174942 | |
| Michigan | Other | I60238 |
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