Healthcare Provider Details

I. General information

NPI: 1689940397
Provider Name (Legal Business Name): HEART AND VASCULAR CARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2012
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 BARCLAY CIRCLE SUITE 230
ROCHESTER HILLS MI
48307-5820
US

IV. Provider business mailing address

75 BARCLAY CIRCLE SUITE 230
ROCHESTER HILLS MI
48307-5820
US

V. Phone/Fax

Practice location:
  • Phone: 248-246-1127
  • Fax: 248-246-0704
Mailing address:
  • Phone: 248-246-1127
  • Fax: 248-246-0704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberJP071846
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: JAY PRADHAN
Title or Position: PRESIDENT
Credential: MD
Phone: 248-246-1127