CLARKSBURG CARDIOVASCULAR PLLC NPI 1750768149

NPI Information

  • NPI: 1750768149
  • Provider Name: CLARKSBURG CARDIOVASCULAR PLLC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • CLIA Number: 51D0967770
  • Address: 527 MEDICAL PARK DR
    STE 306-A
    BRIDGEPORT, WV
    ZIP 26330
  • Phone: (304) 933-3830

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NPI Details

CLARKSBURG CARDIOVASCULAR PLLC is a cardiovascular disease internal medicine in Bridgeport, WV. 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. CLARKSBURG CARDIOVASCULAR PLLC NPI is 1750768149. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

527 MEDICAL PARK DR
STE 306-A
BRIDGEPORT, WV
ZIP 26330-008
Phone: (304) 933-3830
Fax: (304) 933-3837

The provider's authorized official is Sathyanarayan M Reddy .
The authorized official title is Owner and has the following contact phone number (304) 933-3830.

The CLIA number assigned to this NPI record is 51D0967770 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/5/2015 and was last updated on 7/29/2020.

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: 11/21/2025

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