Healthcare Provider Details

I. General information

NPI: 1306037262
Provider Name (Legal Business Name): ECG ASSOCIATES OF MHI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2007
Last Update Date: 08/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4701 N MERIDIAN AVE
MIAMI BEACH FL
33140-2910
US

IV. Provider business mailing address

2664 SW 87TH AVE
MIAMI FL
33165-2031
US

V. Phone/Fax

Practice location:
  • Phone: 305-554-0816
  • Fax: 305-554-8487
Mailing address:
  • Phone: 305-554-0816
  • Fax: 305-554-8487

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME17140
License Number StateFL

VIII. Authorized Official

Name: DR. BHAGWAN U KIRPALANI
Title or Position: PHYSICIAN
Credential: MD
Phone: 305-554-0816