Provider Demographics
NPI:1639265895
Name:WOODS CARDIOVASCULAR INTERNAL MEDICINE ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:WOODS CARDIOVASCULAR INTERNAL MEDICINE ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:PABLO
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-776-4200
Mailing Address - Street 1:27550 SCHOENHERR RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48088-4798
Mailing Address - Country:US
Mailing Address - Phone:586-776-4200
Mailing Address - Fax:586-447-0748
Practice Address - Street 1:27550 SCHOENHERR RD
Practice Address - Street 2:SUITE 200
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-4798
Practice Address - Country:US
Practice Address - Phone:586-776-4200
Practice Address - Fax:586-447-0748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0E01044OtherBCBS OF MICHIGAN
MI0E01044OtherBCBS OF MICHIGAN