Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eastlake Cardiovascular PC

Organization Cardiovascular Disease Physician · NPI 1982657474

Eastlake Cardiovascular PC is a Cardiovascular Disease Physician in St Clair Shores, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

24211 Little Mack Ave
St Clair Shores, MI 48080-1190
Phone: (586) 498-0440
Fax: (586) 498-0401
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X (MI)

Record details

NPI number1982657474
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Ghanem — President · (586) 498-0440
NPI enumeratedMay 18, 2006
Last updated in NPPESDecember 1, 2020
Certification dateDecember 1, 2020
Mailing address24211 Little Mack Ave, St Clair Shores, MI 48080-1190

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