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PEDIATRIC CARDIOLOGY P.C. NPI 1083696793


NPI Information

NPI: 1083696793
Provider Name: PEDIATRIC CARDIOLOGY, P.C.
Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

Address:
330 LAUREL ST
SUITE 2200
DES MOINES, IA
ZIP 50314
Phone: (515) 288-1097
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PEDIATRIC CARDIOLOGY, P.C. is a pediatric cardiology pediatrics in Des Moines, IA. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. PEDIATRIC CARDIOLOGY, P.C. NPI is 1083696793. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

330 LAUREL ST
SUITE 2200
DES MOINES, IA
ZIP 50314-034
Phone: (515) 288-1097
Fax: (515) 288-2847

The provider's authorized official is Basaviah Chandramouli .
The authorized official title is President and has the following contact phone number (515) 288-1097.

The enumeration date for this NPI number is 11/17/2005 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0202XPediatricsPediatric CardiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10183046MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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