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CARDIAC RENAL & VASCULAR ASSOCIATES PC NPI 1649555467


NPI Information

NPI: 1649555467
Provider Name: CARDIAC RENAL & VASCULAR ASSOCIATES PC
Classification: Internal Medicine - 207RI0011X
Entity Type: Organization

Specialization: Interventional Cardiology

Address:
5240 ROBINSON ROAD EXT
JACKSON, MS
ZIP 39204
Phone: (601) 398-0904
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CARDIAC RENAL & VASCULAR ASSOCIATES PC is an interventional cardiology internal medicine in Jackson, MS. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. CARDIAC RENAL & VASCULAR ASSOCIATES PC NPI is 1649555467. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5240 ROBINSON ROAD EXT
JACKSON, MS
ZIP 39204-276
Phone: (601) 398-0904
Fax: (601) 398-2149

The provider's authorized official is Olurotimi John Badero .
The authorized official title is Registered Agent and has the following contact phone number (601) 750-5736.

The enumeration date for this NPI number is 10/12/2011 and was last updated on 12/11/2013.


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
1207RN0300XInternal MedicineNephrology21527MISSISSIPPINo
2207RI0011XInternal MedicineInterventional Cardiology21527MISSISSIPPIYes

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: 4/28/2024

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