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Contact Information

CHARLESTON HEART SPECIALISTS PLLC
2335 CHESTERFIELD AVE
SUITE 202
CHARLESTON, WV25304-1066
 Phone: 304-346-2284
 Fax: 304-346-6590
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CHARLESTON HEART SPECIALISTS PLLC

NPI # 1023279502
LBN Legal business name CHARLESTON HEART SPECIALISTS PLLC
Authorized official DILIP BASU - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/18/2008
Last updated 02/10/2010 - About 16 years ago
Identifiers
WV License # 09941
WV Medicaid 0044715000
WV Medicaid 0078744000
WV Medicaid 0087142000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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