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NPI Code Detail

MEDICARE: THE HEART GROUP

MEDICARE: THE HEART GROUP
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 PhysicianIL

General Provider Information

NPI Number : 1427229160
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE HEART GROUP
Provider Business Mailing Address
First Line : PO BOX 3316
Second Line :
City : EVANSVILLE
State : IN
Zip : 47732-3316
Country : US
Telephone Number : 812-464-0521
Fax Number : 812-464-0565
Provider Business Practice Location Address
First Line : 209 NW 11TH ST
Second Line :
City : FAIRFIELD
State : IL
Zip : 62837-1218
Country : US
Telephone Number : 812-464-0521
Fax Number : 812-464-0565
Authorized Official
Title or Position : PRESIDENT
Name : DR. SATYAM TATINENI
Credential : MD
Telephone Number : 812-464-0521
Provider Enumeration Date : 03/21/2008
Last Update Date : 03/21/2008

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Directions to “THE HEART GROUP ” 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.