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Contact Information

MAMIDI CARDIOLOGY PLLC
20 HOSPITAL DR
LOGAN, WV25601
 Phone: 304-831-2300
 Fax: 304-831-2303
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MAMIDI CARDIOLOGY PLLC

NPI # 1316978745
LBN Legal business name MAMIDI CARDIOLOGY PLLC
Authorized official SATYANARAYANA MAMIDI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/05/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
WV License # WV12853
WV Medicaid 0083504000
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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