Eastlake Cardiovascular PC
NPI 1982657474ActiveOrganization· Internal Medicine, Cardiovascular Disease· St Clair Shores, MI
Internal Medicine, Cardiovascular Disease in St Clair Shores, Michigan, registered in NPPES in May 2006. The authorized official on file is George B. Ghanem, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1982657474 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 18, 2006 |
| Last updated in NPPES | Dec 1, 2020 |
| Certified by provider | Dec 1, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | — | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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