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TRI-CITY PEDIACTRIC CARDIOLOGY P C NPI 1841362555


NPI Information

NPI: 1841362555
Provider Name: TRI-CITY PEDIACTRIC CARDIOLOGY P C

Doing Business As: TRI-CITY PEDIACTRIC CARDIOLOGY P C

Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

Address:
2312 KNOB CREEK RD
SUITE 208
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 610-1099
Get Directions

TRI-CITY PEDIACTRIC CARDIOLOGY P C is a pediatric cardiology pediatrics in Johnson City, TN. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. TRI-CITY PEDIACTRIC CARDIOLOGY P C NPI is 1841362555. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tri-city Pediactric Cardiology P C.

The provider's business location address is:

2312 KNOB CREEK RD
SUITE 208
JOHNSON CITY, TN
ZIP 37604-367
Phone: (423) 610-1099
Fax: (423) 610-1166

The provider's authorized official is Ashok V Mehta .
The authorized official title is President And Ceo and has the following contact phone number (423) 610-1099.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 4/6/2012.


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
12080P0202XPediatricsPediatric CardiologyYes

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
13722336MEDICAIDTENNESSEE
23722336MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE

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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