Healthcare Provider Details

I. General information

NPI: 1710183660
Provider Name (Legal Business Name): CAPITAL CARDIOLOGY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2007
Last Update Date: 03/08/2021
Certification Date: 03/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 E MICHIGAN AVE SUITE 725
LANSING MI
48912-1800
US

IV. Provider business mailing address

1200 E MICHIGAN AVE SUITE 725
LANSING MI
48912-1800
US

V. Phone/Fax

Practice location:
  • Phone: 517-364-5599
  • Fax: 517-364-5590
Mailing address:
  • Phone: 517-364-5599
  • Fax: 517-364-5590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMK063158
License Number StateMI

VIII. Authorized Official

Name: DR. MILIND M KARVE
Title or Position: PRESIDENT-CEO
Credential: M.D.
Phone: 517-364-5599