Core Cardiovascular Clinic, PLLC
Internal Medicine, Interventional Cardiology in Troy, MI. Organization (NPI-2).
NPI number1750131371
StatusActive
Last updated in NPPESOct 10, 2025
Details
- NPI
- 1750131371
- Entity type
- Organization (NPI-2)
- Legal business name
- Core Cardiovascular Clinic, PLLC
- Organization subpart
- No
- Enumeration date
- Mar 26, 2024
- Certification date
- Oct 10, 2025
- Last updated
- Oct 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0011X | Internal Medicine, Interventional Cardiology | – | – | Yes |
Practice location
1500 W Big Beaver Rd Ste 108Troy, MI 48084-3522
Phone 248-878-3171 · Fax 248-928-0916
Mailing address
1500 W Big Beaver Rd Ste 108Troy, MI 48084-3522
Other practice locations
37799 Professional Center Dr Ste 105
Livonia, MI 48154-1123
Livonia, MI 48154-1123
Phone 248-878-3171 · Fax 248-928-0916
Authorized official
Ghassan Dalloul
Owner
5868051500
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