Coastal Cardiology, Pc

LBN: Coastal Cardiology, Pc
Coastal Cardiology, Pc is an health care organization with primary practice located at 4211 Hospital St Suite 107, Pascagoula MS 39581-5310. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Coastal Cardiology, Pc can be contacted via phone (228) 202-3335, or through Khimenko, Pavel via phone (228) 202-3335.

Contact Information

Primary practice address
4211 Hospital St Suite 107 Pascagoula MS 39581-5310
Phone: (228) 202-3335
Fax: (228) 202-3337
Website:
Map and Directions
Authorized official contact:
Name: Khimenko, Pavel Doctor of Medicine (MD)
Phone: (228) 202-3335

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 18035 Mississippi

Profile Details

NPI number 1639239387
LBN Legal business name Coastal Cardiology, Pc
DBA Doing business as
Authorized official Khimenko, Pavel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Jan 17th, 2012 - about 12 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 1639239387 NPPES
Mississippi MEDICAID 00571214
Mississippi Other 422390786C

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