Clarksburg Cardiology Consultants

LBN: Clarksburg Cardiology Consultants
Clarksburg Cardiology Consultants is an health care organization with primary practice located at 527 Medical Park Drive Ste 306, Bridgeport WV 26330-9008. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Clarksburg Cardiology Consultants can be contacted via phone (304) 933-3830, or through Reddy, S.M. via phone (304) 933-3830.

Contact Information

Primary practice address
527 Medical Park Drive Ste 306 Bridgeport WV 26330-9008
Phone: (304) 933-3830
Fax: (304) 933-3837
Website:
Map and Directions
Authorized official contact:
Name: Reddy, S.M. Doctor of Medicine (MD)
Phone: (304) 933-3830

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 044134 West Virginia
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1871531897
LBN Legal business name Clarksburg Cardiology Consultants
DBA Doing business as
Authorized official Reddy, S.M. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2006
Last updated Jan 31st, 2014 - about 11 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 1871531897 NPPES
West Virginia MEDICAID 0011726000
West Virginia Other 1327565
West Virginia Other 1327565
West Virginia Other 000465033
West Virginia MEDICAID 000465033

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