Provider Demographics
NPI:1558559575
Name:FLINT CARDIOVASCULAR ASSOC. PLC
Entity Type:Organization
Organization Name:FLINT CARDIOVASCULAR ASSOC. PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:M
Authorized Official - Last Name:FARREHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:810-732-9888
Mailing Address - Street 1:1116 S LINDEN RD STE 14
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3418
Mailing Address - Country:US
Mailing Address - Phone:810-732-9888
Mailing Address - Fax:810-732-9663
Practice Address - Street 1:1116 S LINDEN RD STE 14
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3418
Practice Address - Country:US
Practice Address - Phone:810-732-9888
Practice Address - Fax:810-732-9663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-04
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty