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NORTHLAKE CARDIOLOGY AND WELLCARE CENTER NPI 1396461653


NPI Information

NPI: 1396461653
Provider Name: NORTHLAKE CARDIOLOGY AND WELLCARE CENTER
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
804 HEAVENS DR
MANDEVILLE, LA
ZIP 70471
Phone: (985) 807-1133
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NORTHLAKE CARDIOLOGY AND WELLCARE CENTER is a cardiovascular disease internal medicine in Mandeville, LA. 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. NORTHLAKE CARDIOLOGY AND WELLCARE CENTER NPI is 1396461653. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

804 HEAVENS DR
MANDEVILLE, LA
ZIP 70471-890
Phone: (985) 807-1133

The provider's authorized official is Prashanthi Atluri .
The authorized official title is Medical Doctor and has the following contact phone number (504) 451-5934.

The enumeration date for this NPI number is 10/18/2022 and was last updated on 10/18/2022.


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 DiseaseYes

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: 5/5/2024

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