National Provider Identifier Database

MAMIDI CARDIOLOGY PLLC
Cardiovascular Disease

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.


Contact Information

MAMIDI CARDIOLOGY PLLC
20 HOSPITAL DR
LOGAN, WV25601
Phone: 304-831-2300
Fax: 304-831-2303
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for MAMIDI CARDIOLOGY PLLC

NPI Number 1316978745
Legal business name
LBN
MAMIDI CARDIOLOGY PLLC
Authorized official SATYANARAYANA MAMIDI - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/05/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • WV License #: WV12853
  • WV Medicaid: 0083504000

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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