Healthcare Provider Details

I. General information

NPI: 1063442002
Provider Name (Legal Business Name): SOMERSET CARDIOVASCULAR ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 S PLEASANT AVE SUITE 401
SOMERSET PA
15501-2183
US

IV. Provider business mailing address

223 S PLEASANT AVE SUITE 401
SOMERSET PA
15501-2183
US

V. Phone/Fax

Practice location:
  • Phone: 814-445-7101
  • Fax: 814-445-7688
Mailing address:
  • Phone: 814-445-7101
  • Fax: 814-445-7688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. V. KRISHNAN NAIR
Title or Position: PERSIDENT
Credential: M.D.
Phone: 814-445-7101