Provider Demographics
NPI:1851125595
Name:OAKLAND HILLS CARDIOLOGY CONSULTANTS PLLC
Entity type:Organization
Organization Name:OAKLAND HILLS CARDIOLOGY CONSULTANTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KOHLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-551-1505
Mailing Address - Street 1:29201 TELEGRAPH RD STE 460
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-7604
Mailing Address - Country:US
Mailing Address - Phone:248-551-5100
Mailing Address - Fax:
Practice Address - Street 1:29201 TELEGRAPH RD STE 460
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-7604
Practice Address - Country:US
Practice Address - Phone:248-551-5100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty