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MIDWEST CARDIOVASCULAR RESEARCH FOUNDATION NPI 1891380432


NPI Information

NPI: 1891380432
Provider Name: MIDWEST CARDIOVASCULAR RESEARCH FOUNDATION
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 16D2110876

Address:
630 E 4TH ST STE A
DAVENPORT, IA
ZIP 52801
Phone: (563) 324-2828
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MIDWEST CARDIOVASCULAR RESEARCH FOUNDATION is a cardiovascular disease internal medicine in Davenport, IA. 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. MIDWEST CARDIOVASCULAR RESEARCH FOUNDATION NPI is 1891380432. The provider is registered as an organization entity type.

The provider's business location address is:

630 E 4TH ST STE A
DAVENPORT, IA
ZIP 52801-713
Phone: (563) 324-2828

The provider's authorized official is Nicolas Shammas .
The authorized official title is Owner and has the following contact phone number (563) 320-0263.

The CLIA number assigned to this NPI record is 16D2110876 - other - cardiovascular research with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/5/2021 and was last updated on 3/5/2021.


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
1261QM2500XClinic/CenterMedical SpecialtyNo
2207RC0000XInternal MedicineCardiovascular DiseaseYes

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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