Healthcare Provider Details

I. General information

NPI: 1992764641
Provider Name (Legal Business Name): NISHIT ARVIND CHOKSI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2006
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5250 AUTO CLUB DR STE 300
DEARBORN MI
48126-2619
US

IV. Provider business mailing address

1695 12 MILE RD STE 245
BERKLEY MI
48072-2183
US

V. Phone/Fax

Practice location:
  • Phone: 313-724-9000
  • Fax: 313-562-9300
Mailing address:
  • Phone: 248-229-4139
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number4301046536
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number4301046536
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number077776
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberME122721
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: