Healthcare Provider Details

I. General information

NPI: 1720397045
Provider Name (Legal Business Name): HEART RHYTHM CLINICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2010
Last Update Date: 11/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18181 OAKWOOD BLVD SUITE 207
DEARBORN MI
48124-5032
US

IV. Provider business mailing address

18181 OAKWOOD BLVD SUITE 207
DEARBORN MI
48124-5032
US

V. Phone/Fax

Practice location:
  • Phone: 313-551-3745
  • Fax:
Mailing address:
  • Phone: 313-551-3745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NOUR JURATLI
Title or Position: PRESIDENT
Credential: MD
Phone: 248-228-7680