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General NPI Number Information
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NPI Number | 1619828910
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Entity Type | Organization
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Legal Business Name | MICHIGAN HEART AND VASCULAR PLLC
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 9029 PARDEE RD
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City | TAYLOR
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State | MI
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Zip | 48180-2755
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Country | US
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Telephone | 313-437-8427
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Fax | 313-437-8429
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Provider Business Mailing Address
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Address Line | 9029 PARDEE RD
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City | TAYLOR
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State | MI
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Zip | 48180-2755
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Country | US
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Telephone | 313-437-8427
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Fax | 313-437-8429
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Authorized Official
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Title or Position | PRESIDENT
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Name | ASHOK KUMAR KONDUR
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Credential | MD MBA
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Telephone | 248-946-1551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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