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NPI Code Detail

MEDICARE: CARDIOVASCULAR SOLUTIONS OF CENTRAL MS PA

MEDICARE: CARDIOVASCULAR SOLUTIONS OF CENTRAL MS PA
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
1207RI0011XInterventional Cardiology Physician

General Provider Information

NPI Number : 1356712848
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARDIOVASCULAR SOLUTIONS OF CENTRAL MS PA
Provider Business Mailing Address
First Line : 800 N PEARMAN AVE
Second Line :
City : CLEVELAND
State : MS
Zip : 38732-3502
Country : US
Telephone Number : 888-757-0838
Fax Number : 888-796-1835
Provider Business Practice Location Address
First Line : 800 N PEARMAN AVE
Second Line :
City : CLEVELAND
State : MS
Zip : 38732-3502
Country : US
Telephone Number : 888-757-0838
Fax Number : 888-796-1835
Authorized Official
Title or Position : PHYSICIAN
Name : FOLUSO A FAKOREDE
Credential : MD
Telephone Number : 888-757-0838
Provider Enumeration Date : 10/09/2015
Last Update Date : 04/13/2020

Similar Medicare Providers

1679730329 — DR. FOLUSO A FAKOREDE MD
Practice Location Address:
800 N PEARMAN AVE
CLEVELAND, MS
38732-3502
Practice Phone: 888-757-0838
Practice Fax: 888-757-1835
1326363839 — DR. KESSA MAURAS DPM
Practice Location Address:
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38732-3502
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1194211094 — CARLY MARANNE HAZZARD ANDREWS NP
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1497224174 — FUSION VASCULAR, LLC
Practice Location Address:
800 PEARMAN AVE
CLEVELAND, MS
38732-3502
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1346827482 — DR. RICHARD MICHAEL CUKELJ DPM
Practice Location Address:
800 N PEARMAN AVE
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38732-3502
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1205404282 — LASHYRA CELESTE COTTON PA-C
Practice Location Address:
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Directions to “CARDIOVASCULAR SOLUTIONS OF CENTRAL MS PA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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