RED SEA HEART CENTER PLC NPI 1649463506

NPI Information

NPI: 1649463506
Provider Name: RED SEA HEART CENTER PLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 03D1100951

Address:
610 W CATALINA DR
YUMA, AZ
ZIP 85364
Phone: (928) 344-9300
Get Directions

RED SEA HEART CENTER PLC is a cardiovascular disease internal medicine in Yuma, AZ. 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. RED SEA HEART CENTER PLC NPI is 1649463506. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

610 W CATALINA DR
YUMA, AZ
ZIP 85364-011
Phone: (928) 344-9300
Fax: (928) 344-9304

The provider's authorized official is Habteab Betsuamlac Feseha .
The authorized official title is Md/owner and has the following contact phone number (928) 344-9300.

The CLIA number assigned to this NPI record is 03D1100951 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2007 and was last updated on 12/12/2022.

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
1	207RC0000X	Internal Medicine	Cardiovascular Disease	37118	ARIZONA	Yes

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
1	232052	MEDICAID	ARIZONA

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

NPI Synchronization or Removal

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