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MANSHADI HEART INSTITUTE INC NPI 1225380603


NPI Information

NPI: 1225380603
Provider Name: MANSHADI HEART INSTITUTE INC
Classification: Internal Medicine - 207RI0011X
Entity Type: Organization

Specialization: Interventional Cardiology

CLIA Number: 05D2187332

Address:
2633 PACIFIC AVE
STOCKTON, CA
ZIP 95204
Phone: (209) 944-5530
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MANSHADI HEART INSTITUTE INC is an interventional cardiology internal medicine in Stockton, CA. 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. MANSHADI HEART INSTITUTE INC NPI is 1225380603. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2633 PACIFIC AVE
STOCKTON, CA
ZIP 95204-429
Phone: (209) 944-5530
Fax: (209) 944-5990

The provider's authorized official is Ramin Manshadi .
The authorized official title is Owner and has the following contact phone number (209) 487-4200.

The CLIA number assigned to this NPI record is 05D2187332 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/9/2012 and was last updated on 1/26/2017.


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
1207RI0011XInternal MedicineInterventional CardiologyYes

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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