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DELAWARE CARDIOVASCULAR ASSOCIATES P.A. NPI 1073567418


NPI Information

NPI: 1073567418
Provider Name: DELAWARE CARDIOVASCULAR ASSOCIATES, P.A.
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 08D0970026

Address:
1403 FOULK RD
SUITE 101
WILMINGTON, DE
ZIP 19803
Phone: (302) 661-7676
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DELAWARE CARDIOVASCULAR ASSOCIATES, P.A. is a cardiovascular disease internal medicine in Wilmington, DE. 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. DELAWARE CARDIOVASCULAR ASSOCIATES, P.A. NPI is 1073567418. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1403 FOULK RD
SUITE 101
WILMINGTON, DE
ZIP 19803-788
Phone: (302) 661-7676
Fax: (302) 661-1050

The provider's authorized official is Shraven Pakanati .
The authorized official title is Practice Manager and has the following contact phone number (302) 661-1661.

The CLIA number assigned to this NPI record is 08D0970026 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 3/25/2014.


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
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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
1635578OTHERDELAWAREMEDICARE PTAN NUMBER

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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