MEDICARE: DR. ARMANDO C MADRAZO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	AM033057	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366474801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARMANDO C MADRAZO M.D.

Provider Business Mailing Address
First Line	:	37771 SCHOENHERR RD
Second Line	:	SUITE 101
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48312-2302
Country	:	US
Telephone Number	:	586-698-1200
Fax Number	:	586-978-1323

Provider Business Practice Location Address
First Line	:	37771 SCHOENHERR RD
Second Line	:	SUITE 101
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48312-2302
Country	:	US
Telephone Number	:	586-698-1200
Fax Number	:	586-978-1323

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	10/20/2011

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