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NPI 1679332852

NPI 1679332852 : ELITE CARDIOVASCULAR CONSULTANTS : DETROIT, MI

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General NPI Number Information
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    NPI Number           |    1679332852
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    Entity Type          |    Organization 
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    Legal Business Name  |    ELITE CARDIOVASCULAR CONSULTANTS 
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Dates
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    Enumeration Date     |    03/18/2024
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    Last Update Date     |    07/10/2025
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Provider Practice Location Address
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    Address Line         |    311 MACK AVE STE 62100 
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    City                 |    DETROIT
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    State                |    MI
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    Zip                  |    48201-2466
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    Country              |    US
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    Telephone            |    248-246-6468
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    Fax                  |    248-294-1427
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Provider Business Mailing Address
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    Address Line         |    PO BOX 32126 
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    City                 |    DETROIT
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    State                |    MI
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    Zip                  |    48232-0126
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    Country              |    US
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    Telephone            |    248-246-6468
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    Fax                  |    248-294-1427
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. ZAHER  HAKIM 
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    Credential           |    MD
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    Telephone            |    248-246-6468
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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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