Christian Cardiovascular Institute Pc

LBN: Christian Cardiovascular Institute Pc
Christian Cardiovascular Institute Pc is an health care organization with primary practice located at 3300 Nw 56Th Street Suite 200, Oklahoma City OK 73112-4401. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Christian Cardiovascular Institute Pc can be contacted via phone (405) 947-2228, or through Pedulla, Dominic M. via phone (405) 947-2228.

Contact Information

Primary practice address
3300 Nw 56Th Street Suite 200 Oklahoma City OK 73112-4401
Fax: (405) 947-2307
Website:
Authorized official contact:
Name: Pedulla, Dominic M. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 17642 Oklahoma

Profile Details

NPI number 1225201718
LBN Legal business name Christian Cardiovascular Institute Pc
DBA Doing business as
Authorized official Pedulla, Dominic M. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2008
Last updated Feb 19th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225201718 NPPES
Oklahoma MEDICAID 10012360A
Oklahoma Other DP6097

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