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NPI Code Detail

MEDICARE: GULF COAST CARDIOLOGY GRP PLLC

MEDICARE: GULF COAST CARDIOLOGY GRP 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
1207RC0000XCardiovascular Disease PhysicianM6898TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275539157
Entity Type Code : Organization
Provider Name (Legal Business Name) : GULF COAST CARDIOLOGY GRP PLLC
Provider Business Mailing Address
First Line : 3921 N TWIN CITY HWY
Second Line :
City : PORT ARTHUR
State : TX
Zip : 77642-2118
Country : US
Telephone Number : 409-963-0000
Fax Number : 409-963-1899
Provider Business Practice Location Address
First Line : 3921 N TWIN CITY HWY
Second Line :
City : PORT ARTHUR
State : TX
Zip : 77642-2118
Country : US
Telephone Number : 409-963-0000
Fax Number : 409-963-1899
Authorized Official
Title or Position : M.D.
Name : MR. PRADIP J MORBIA
Credential : M.D.
Telephone Number : 409-963-0000
Provider Enumeration Date : 06/24/2005
Last Update Date : 06/23/2008

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1801893284 — GULF COAST CARDIOLOGY GROUP PLLC
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77642-2118
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1255330569 — MOHAMMED AMIRUL ISLAM MD
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1801004627 — MOHAMMED A. ISLAM M.D.P.A.
Practice Location Address:
3921 N TWIN CITY HWY
PORT ARTHUR, TX
77642-2118
Practice Phone: 409-963-0000
Practice Fax: 409-963-1899

Directions to “GULF COAST CARDIOLOGY GRP PLLC ” Practice Location

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