NPI Code Details Logo

NPI 1629937669

NPI 1629937669 : NY CARDIAC AND VASCULAR MEDICAL PLLC : BRONX, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1629937669
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    NY CARDIAC AND VASCULAR MEDICAL PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/16/2026
-----------------------------------------------------
    Last Update Date     |    01/16/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    813 SOUTHERN BLVD 
-----------------------------------------------------
    City                 |    BRONX
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    10459-5202
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    718-675-5520
-----------------------------------------------------
    Fax                  |    718-675-5530
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    33 OLD WHEATLEY RD 
-----------------------------------------------------
    City                 |    GLEN HEAD
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    11545-2611
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    718-675-5520
-----------------------------------------------------
    Fax                  |    718-675-5530
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     KARTHIK R GUJJA 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    718-675-5520
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207RC0000X
-----------------------------------------------------
    Taxonomy Name        |    Cardiovascular Disease Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.