Provider Demographics
NPI:1518154798
Name:CARDIOLOGY AND ARRYTHMIA CONSULTANTS P.C.
Entity Type:Organization
Organization Name:CARDIOLOGY AND ARRYTHMIA CONSULTANTS P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANIL
Authorized Official - Middle Name:K
Authorized Official - Last Name:GOEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-853-7600
Mailing Address - Street 1:3072 WOODCREEK WAY
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48304-1862
Mailing Address - Country:US
Mailing Address - Phone:248-723-4777
Mailing Address - Fax:248-723-4776
Practice Address - Street 1:1915 E 14 MILE RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-7244
Practice Address - Country:US
Practice Address - Phone:248-723-4777
Practice Address - Fax:248-723-4776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-01
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301067865207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI473991410Medicaid