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EASTSIDE CARDIOVASCULAR MEDICINE, P.C.
NPI 1861493199
Internal Medicine - Cardiovascular Disease in Roseville, MI

Active since August 09, 2005
25195 KELLY ROAD, SUITE A, ROSEVILLE, MI 48066(586) 775-4594(586) 775-4506 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Jun 15, 2017 (2 updates tracked since 2017).

About Eastside Cardiovascular Medicine, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTSIDE CARDIOVASCULAR MEDICINE, P.C. (NPI 1861493199), doing business as Eastside Cardiology Pc, is a healthcare organization registered as a cardiovascular disease in Roseville, Michigan and active in the NPI registry since August 2005. The organization lists Vamshidhar D Guduguntia, President/eastside Cardiovascular M, as its authorized official.

NPPES Registry Identity

NPI1861493199
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameEASTSIDE CARDIOVASCULAR MEDICINE, P.C.
Location Address25195 KELLY ROAD, SUITE ARoseville, MI 48066-4909
Mailing Address25195 Kelly Rd, Suite ARoseville, MI 48066-4909 · (586) 775-4594 · Fax (586) 775-4506
Phone(586) 775-4594
Fax(586) 775-4506
Organization SubpartNo
Authorized OfficialVamshidhar D GuduguntiaPresident/eastside Cardiovascular M · (586) 775-4594
Enumeration DateAugust 9, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1861493199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
25195 KELLY ROAD, Roseville, MI 48066
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Other Names 1

Former Legal Business NameEastside Cardiology Pc

Other Identifiers 1

Other060E01111MI · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANTONIOUS S ATTALLAH M.D.
Internal Medicine (Interventional Cardiology)
25195 KELLY ROAD, SUITE A
ROSEVILLE, MI 48066
Macomb County (586) 775-4594
KISHAN KUMAR JASTI M.D.
Internal Medicine (Cardiovascular Disease)
25195 KELLY ROAD, SUITE A
ROSEVILLE, MI 48066
Macomb County (586) 775-4594

Frequently Asked Questions

What is EASTSIDE CARDIOVASCULAR MEDICINE, P.C.'s NPI number?

The NPI number assigned to this healthcare provider is 1861493199, enumerated as an "organization" on August 09, 2005.

Where is the provider located?

The provider is located at 25195 KELLY ROAD SUITE A ROSEVILLE, MI 48066 and the phone number is (586) 775-4594.

What is the provider's specialty?

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

What insurance does EASTSIDE CARDIOVASCULAR MEDICINE, P.C. accept?

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.