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CENTRIC HEART & VASCULAR LLC NPI 1356845945


NPI Information

NPI: 1356845945
Provider Name: CENTRIC HEART & VASCULAR LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 26D2146155

Address:
2103 SILVA LN
MOBERLY, MO
ZIP 65270
Phone: (660) 616-0022
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CENTRIC HEART & VASCULAR LLC is a cardiovascular disease internal medicine in Moberly, MO. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. CENTRIC HEART & VASCULAR LLC NPI is 1356845945. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2103 SILVA LN
MOBERLY, MO
ZIP 65270-660
Phone: (660) 616-0022

The provider's authorized official is Sanjeev Dhari Ravipudi .
The authorized official title is Owner and has the following contact phone number (626) 394-6299.

The CLIA number assigned to this NPI record is 26D2146155 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2018 and was last updated on 3/20/2018.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease2002015751MISSOURIYes

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: 5/5/2024

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