SAMIR B. DAMANI MD INC NPI 1922371228

NPI Information

NPI: 1922371228
Provider Name: SAMIR B. DAMANI MD INC

Doing Business As: MD REVOLUTION

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
9850 GENESEE AVE
SUITE 730
LA JOLLA, CA
ZIP 92037
Phone: (858) 847-5064
Get Directions

SAMIR B. DAMANI MD INC is a cardiovascular disease internal medicine in La Jolla, CA. 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. SAMIR B. DAMANI MD INC NPI is 1922371228. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Md Revolution.

The provider's business location address is:

9850 GENESEE AVE
SUITE 730
LA JOLLA, CA
ZIP 92037
Phone: (858) 847-5064
Fax: (858) 433-4099

The provider's authorized official is Samir B Damani .
The authorized official title is Physician and has the following contact phone number (858) 847-5064.

The enumeration date for this NPI number is 2/16/2012 and was last updated on 6/17/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine				No
2	207RC0000X	Internal Medicine	Cardiovascular Disease			No
3	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)			No
4	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	A88989	CALIFORNIA	No
5	207R00000X	Internal Medicine		A88989	CALIFORNIA	No
6	207RC0000X	Internal Medicine	Cardiovascular Disease	A88989	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	159583	MEDICARE UPIN	CALIFORNIA
2	WA88989A	MEDICARE PIN	CALIFORNIA
3	00A889890	MEDICAID	CALIFORNIA

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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