National Provider Identifier Database

PRIME MEDICAL GROUP PC
Cardiovascular Disease

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.


Contact Information

PRIME MEDICAL GROUP PC
4455 TOWN CENTER PKWY
SUITE A
FLINT, MI48532-3425
Phone: 810-720-3370
Fax: 810-720-3367
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X
Cardiac Rehabilitation 163WC3500X
Interventional Cardiology 207RI0011X
Nurse Practitioner 363L00000X
Sleep Medicine 2084S0012X
Vascular Surgery 2086S0129X

* Indicates primary specialty

NPI Profile & details for PRIME MEDICAL GROUP PC

NPI Number 1861615452
Legal business name
LBN
PRIME MEDICAL GROUP PC
Authorized official SAMIR ELIAN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/11/2007
Last updated 01/30/2026 - About 4 months ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 4301062994
  • MI License #: 4301075121
  • MI License #: 4301085958
  • MI License #: 4704216332
  • MI License #: 5101016443
  • MI Medicaid: 4618140

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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