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INTERVENTIONAL CARDIOLOGY OF THE MIDSOUTH INC. NPI 1548211378


NPI Information

NPI: 1548211378
Provider Name: INTERVENTIONAL CARDIOLOGY OF THE MIDSOUTH, INC.
Classification: Internal Medicine - 207RI0011X
Entity Type: Organization

Specialization: Interventional Cardiology

CLIA Number: 44D1077241

Address:
1211 UNION AVE
SUITE 975
MEMPHIS, TN
ZIP 38104
Phone: (901) 725-0347
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INTERVENTIONAL CARDIOLOGY OF THE MIDSOUTH, INC. is an interventional cardiology internal medicine in Memphis, TN. 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. INTERVENTIONAL CARDIOLOGY OF THE MIDSOUTH, INC. NPI is 1548211378. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1211 UNION AVE
SUITE 975
MEMPHIS, TN
ZIP 38104-638
Phone: (901) 725-0347
Fax: (901) 725-5359

The provider's authorized official is George J Smith .
The authorized official title is President and has the following contact phone number (901) 725-0347.

The CLIA number assigned to this NPI record is 44D1077241 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 8/13/2009.


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 CardiologyMD0000018928TENNESSEEYes

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
1B00177MEDICARE UPINTENNESSEE

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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