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K Heart & Vascular PLLC

Internal Medicine, Cardiovascular Disease in Sterling Heights, MI. Organization (NPI-2).

NPI number1104452929
StatusActive
Last updated in NPPESMar 13, 2020

Details

NPI
1104452929
Entity type
Organization (NPI-2)
Legal business name
K Heart & Vascular PLLC
Organization subpart
No
Enumeration date
Mar 13, 2020
Certification date
Mar 13, 2020
Last updated
Mar 13, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0000X Internal Medicine, Cardiovascular Disease––Yes

Practice location

33376 Dequindre Road
Sterling Heights, MI 48310-5966

Phone 586-722-7440 · Fax 586-722-7675

Mailing address

33376 Dequindre Road
Sterling Heights, MI 48310-5966

Phone 586-722-7440 · Fax 586-722-7675

Authorized official

Srinivas Koneru
Physician/Owner
5867227440

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