CARDIOVASCULAR CARE CENTER LLC NPI 1083768378

NPI Information

  • NPI: 1083768378
  • Provider Name: CARDIOVASCULAR CARE CENTER LLC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Address: 14904 JEFFERSON DAVIS HWY
    406
    WOODBRIDGE, VA
    ZIP 22191
  • Phone: (703) 492-0709

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NPI Details

CARDIOVASCULAR CARE CENTER LLC is a cardiovascular disease internal medicine in Woodbridge, VA. 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. CARDIOVASCULAR CARE CENTER LLC NPI is 1083768378. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14904 JEFFERSON DAVIS HWY
406
WOODBRIDGE, VA
ZIP 22191-908
Phone: (703) 492-0709
Fax: (703) 492-7323

The provider's authorized official is Kambiz Yazdani .
The authorized official title is President and has the following contact phone number (703) 492-0709.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 6/16/2008.

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
1207RC0000XInternal MedicineCardiovascular Disease0101237219VIRGINIAYes

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 Other Provider Identifier Issuer
1G02062MEDICARE ID-TYPE UNSPECIFIEDDISTRICT OF COLUMBIA
2I26987MEDICARE UPINVIRGINIA

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: 11/21/2025

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