MIDWEST COMPREHENSIVE CARDIOVASCULAR CARE PLLC – NPI #1114304755
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

MIDWEST COMPREHENSIVE CARDIOVASCULAR CARE PLLC is a provider located in SOUTHFIELD, MI. NPPES has assigned the NPI number 1114304755 to MIDWEST COMPREHENSIVE CARDIOVASCULAR CARE PLLC on May 04, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 3 years ago on Jul 01, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MIDWEST COMPREHENSIVE CARDIOVASCULAR CARE PLLC below.

NPI Profile for
MIDWEST COMPREHENSIVE CARDIOVASCULAR CARE PLLC

NPI Number
1114304755
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MIDWEST COMPREHENSIVE CARDIOVASCULAR CARE PLLC
Primary location
27209 LAHSER RD
SUITE 226
SOUTHFIELD, MI 48034-8401
Phone: (248) 595-8802 Fax: (248) 945-1222
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MUKARRAM SIDDIQUI
OWNER
Phone: (248) 595-8802
Updated
Certification Date
Jul 01, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MIDWEST COMPREHENSIVE CARDIOVASCULAR CARE PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherLICENSEMI4301062045
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)		 MI 4301062045

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.