Tri-City Pediactric Cardiology P C

LBN: Tri-City Pediactric Cardiology P C
Tri-City Pediactric Cardiology P C is an health care organization with primary practice located at 2312 Knob Creek Rd Suite 208, Johnson City TN 37604-2367. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as the primary health care specialty. Tri-City Pediactric Cardiology P C can be contacted via phone (423) 610-1099, or through Mehta, Ashok V via phone (423) 610-1099.

Contact Information

Primary practice address
2312 Knob Creek Rd Suite 208 Johnson City TN 37604-2367
Phone: (423) 610-1099
Fax: (423) 610-1166
Website:
Map and Directions
Authorized official contact:
Name: Mehta, Ashok V Doctor of Medicine (MD)
Phone: (423) 610-1099

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X

Profile Details

NPI number 1841362555
LBN Legal business name Tri-City Pediactric Cardiology P C
DBA Doing business as Tri-City Pediactric Cardiology P C
Authorized official Mehta, Ashok V Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Apr 6th, 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 1841362555 NPPES
Tennessee MEDICAID 3722336

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