MEDICARE: HEART CARE ASSOCIATES P C

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	:	1255340766
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART CARE ASSOCIATES P C

Provider Business Mailing Address
First Line	:	5303 PLAZA DR
Second Line	:	SUITE 102
City	:	HOPEWELL
State	:	VA
Zip	:	23860-7331
Country	:	US
Telephone Number	:	804-541-3800
Fax Number	:	804-541-3817

Provider Business Practice Location Address
First Line	:	5303 PLAZA DR
Second Line	:	SUITE 102
City	:	HOPEWELL
State	:	VA
Zip	:	23860-7331
Country	:	US
Telephone Number	:	804-541-3800
Fax Number	:	804-541-3817

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KAMLESH N DAVE
Credential	:	M.D..,F.A.C.C.
Telephone Number	:	804-541-3800

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	03/11/2011

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