CLARKSBURG CARDIOVASCULAR PLLC NPI 1750768149

NPI Information

CLARKSBURG CARDIOVASCULAR PLLC is a cardiovascular disease internal medicine in Bridgeport, WV. The provider is 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. CLARKSBURG CARDIOVASCULAR PLLC NPI is 1750768149. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

527 MEDICAL PARK DR
STE 306-A
BRIDGEPORT, WV
ZIP 26330-008
Phone: (304) 933-3830
Fax: (304) 933-3837

The provider's authorized official is Sathyanarayan M Reddy .
The authorized official title is Owner and has the following contact phone number (304) 933-3830.

The CLIA number assigned to this NPI record is 51D0872430 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/5/2015 and was last updated on 7/29/2020.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.