Healthcare Provider Details

I. General information

NPI: 1518154798
Provider Name (Legal Business Name): CARDIOLOGY AND ARRYTHMIA CONSULTANTS P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2007
Last Update Date: 07/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 E 14 MILE RD
BIRMINGHAM MI
48009-7244
US

IV. Provider business mailing address

3072 WOODCREEK WAY
BLOOMFIELD HILLS MI
48304-1862
US

V. Phone/Fax

Practice location:
  • Phone: 248-723-4777
  • Fax: 248-723-4776
Mailing address:
  • Phone: 248-723-4777
  • Fax: 248-723-4776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number4301067865
License Number StateMI

VIII. Authorized Official

Name: DR. ANIL K GOEL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 248-853-7600