Healthcare Provider Details

I. General information

NPI: 1194151126
Provider Name (Legal Business Name): HEART RHYTHM VASCULAR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2013
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 E MARSHALL ST STE 303
WEST CHESTER PA
19380-4441
US

IV. Provider business mailing address

600 E MARSHALL ST STE 303
WEST CHESTER PA
19380-4441
US

V. Phone/Fax

Practice location:
  • Phone: 484-704-0743
  • Fax:
Mailing address:
  • Phone: 484-704-0743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberMD443592
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberMD443592
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code261QR1100X
TaxonomyResearch Clinic/Center
License NumberMD443592
License Number StatePA

VIII. Authorized Official

Name: PAUL SURI
Title or Position: MEMBER
Credential: MD
Phone: 484-704-0743