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Dr. Jose L. Evangelista, MD
Cardiovascular Disease Physician in Livonia, Michigan
NPI 1316057391

Jose L. Evangelista is a Cardiovascular Disease Physician based in Livonia, MI and is specialized in Cardiovascular Disease. Jose L. Evangelista practices in Livonia, MI and has the professional credentials of MD. The NPI Number for Jose L. Evangelista is 1316057391 and holds a License No. 4301031560 (Michigan).

The current practice location address for Jose L. Evangelista is 10475 Farmington Rd, Livonia, MI and can be reached out via phone at 734-427-9440 and via fax at 734-427-1701.

Location: 10475 Farmington Rd, Livonia, MI, 48154-1971
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316057391
Provider Name
Jose L. Evangelista
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
10475 Farmington Rd, Livonia, MI, 48154-1971
Phone Number
734-427-9440
Fax Number
734-427-1701
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0Q26368 01 MI GROUP
510738 01 MI CARE CHOICE HMO
4199114 05 MI
1108214871 01 MI BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
10475 Farmington Rd
City
Livonia
State
Michigan
Zip
48150-5704
Phone Number
734-427-9440
Fax Number
734-427-1701
person
Provider Business Mailing Address Details
Address
10475 Farmington Rd
City
Livonia
State
Michigan
Zip
48150-5704
Phone Number
734-427-9440
Fax Number
734-427-1701
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
4301031560 (Michigan)
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.
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