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CARDIOVASCULAR ASSOCIATES OF SAN ANTONIO PA NPI 1427189539


NPI Information

NPI: 1427189539
Provider Name: CARDIOVASCULAR ASSOCIATES OF SAN ANTONIO, PA
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 45D0953903

Address:
1123 N MAIN AVE STE 110
SAN ANTONIO, TX
ZIP 78212
Phone: (210) 225-4566
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CARDIOVASCULAR ASSOCIATES OF SAN ANTONIO, PA is a cardiovascular disease internal medicine in San Antonio, TX. 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 ASSOCIATES OF SAN ANTONIO, PA NPI is 1427189539. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1123 N MAIN AVE STE 110
SAN ANTONIO, TX
ZIP 78212
Phone: (210) 225-4566
Fax: (210) 225-5727

The provider's authorized official is L Prasad Vemulapalli .
The authorized official title is President and has the following contact phone number (210) 225-4566.

The CLIA number assigned to this NPI record is 45D0953903 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 12/26/2019.


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
2207RI0011XInternal MedicineInterventional CardiologyNo

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
1083715501MEDICAIDTEXAS

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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