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Contact Information

CARDIO CARE PRACTICE LLC
6119 N PINCHOT RD
TUCSON, AZ85750-1297
 Phone: 520-303-4572
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Maintenance Organization

302R00000X
Indicates primary specialty

NPI Profile & details for CARDIO CARE PRACTICE LLC

NPI Number 1669856795
LBN Legal business name CARDIO CARE PRACTICE LLC
Authorized official MOHAMMAD REZA MOVAHED SHARIAT PANAHI - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/18/2015
Last updated 07/18/2015 - About 11 years ago
Identifiers
AZ License # A35065
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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