Healthcare Provider Details

I. General information

NPI: 1942631387
Provider Name (Legal Business Name): CVC IMAGING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2013
Last Update Date: 12/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9203 SHERIDAN PARK CT
BRENTWOOD TN
37027-1748
US

IV. Provider business mailing address

PO BOX 242848
MONTGOMERY AL
36124-2848
US

V. Phone/Fax

Practice location:
  • Phone: 615-574-5935
  • Fax: 615-229-0334
Mailing address:
  • Phone: 334-386-9357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NAVIN GUPTA
Title or Position: OWNER
Credential: M.D.
Phone: 615-574-5935