MEDICARE: ELITE-CARE CARDIOLOGY & VASCULAR CENTER PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1073292280
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELITE-CARE CARDIOLOGY & VASCULAR CENTER PLLC

Provider Business Mailing Address
First Line	:	8722 GREENVILLE AVE STE 101
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-7165
Country	:	US
Telephone Number	:	214-302-5896
Fax Number	:	855-583-3659

Provider Business Practice Location Address
First Line	:	8722 GREENVILLE AVE STE 101
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-7165
Country	:	US
Telephone Number	:	214-302-5896
Fax Number	:	855-583-3659

Authorized Official
Title or Position	:	FOUNDER/ CEO
Name	:	DR. MANAVJOT SINGH SIDHU
Credential	:	MD
Telephone Number	:	214-302-5896

Provider Enumeration Date	:	07/14/2023
Last Update Date	:	08/15/2025

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