Healthcare Provider Details

I. General information

NPI: 1720039456
Provider Name (Legal Business Name): OXFORD VALLEY CARDIOLOGY ASSOCIATES PC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 09/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 MIDDLETOWN BLVD STE 510
LANGHORNE PA
19047-1840
US

IV. Provider business mailing address

370 MIDDLETOWN BLVD STE 510
LANGHORNE PA
19047-1840
US

V. Phone/Fax

Practice location:
  • Phone: 215-750-6566
  • Fax: 215-750-7288
Mailing address:
  • Phone: 215-750-6566
  • Fax: 215-750-7288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD021388E
License Number StatePA

VIII. Authorized Official

Name: DR. RANGA A RAO
Title or Position: PRESIDENT
Credential: MD
Phone: 215-750-6566