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

Pediatric Cardiology of Southeastren Michigan

Organization Pediatric Cardiology Physician · NPI 1801453287

Pediatric Cardiology of Southeastren Michigan is a Pediatric Cardiology Physician in Troy, Michigan. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1934 Bluff Ct
Troy, MI 48098-6616
Phone: (248) 312-0005
Fax: (248) 940-2949
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X

Record details

NPI number1801453287
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Regina Shade — Consultant · (586) 260-2858
NPI enumeratedMay 21, 2019
Last updated in NPPESMay 21, 2019
Mailing address1934 Bluff Ct, Troy, MI 48098-6616

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