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NPI Code Detail

MEDICARE: DESERT HEART PHYSICIANS MEDICAL GROUP, INC.

MEDICARE: DESERT HEART PHYSICIANS MEDICAL GROUP, INC.
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 PhysicianC40464CA

General Provider Information

NPI Number : 1316062128
Entity Type Code : Organization
Provider Name (Legal Business Name) : DESERT HEART PHYSICIANS MEDICAL GROUP, INC.
Provider Business Mailing Address
First Line : 1180 N INDIAN CANYON DR
Second Line : SUITE E319
City : PALM SPRINGS
State : CA
Zip : 92262-4800
Country : US
Telephone Number : 760-325-1203
Fax Number : 760-325-5485
Provider Business Practice Location Address
First Line : 41990 COOK ST
Second Line : BLDG. G, SUITE 601
City : PALM DESERT
State : CA
Zip : 92211-6100
Country : US
Telephone Number : 760-360-4446
Fax Number : 760-360-4436
Authorized Official
Title or Position : PRESIDENT
Name : DR. NARASIMHA P RAO
Credential : M.D.
Telephone Number : 760-325-1203
Provider Enumeration Date : 03/20/2007
Last Update Date : 02/15/2010

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Directions to “DESERT HEART PHYSICIANS MEDICAL GROUP, INC. ” Practice Location

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