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NPI Code Detail

MEDICARE: CARDIAC AND VASCULAR ASSOCIATES, P.C.

MEDICARE: CARDIAC AND VASCULAR 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
1207RC0000XCardiovascular Disease Physician24470TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CG7405OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619997533
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARDIAC AND VASCULAR ASSOCIATES, P.C.
Provider Business Mailing Address
First Line : 1032 MCCALLIE AVE
Second Line : STE 200
City : CHATTANOOGA
State : TN
Zip : 37403-2800
Country : US
Telephone Number : 423-693-2400
Fax Number : 423-693-2499
Provider Business Practice Location Address
First Line : 1032 MCCALLIE AVE
Second Line : STE 200
City : CHATTANOOGA
State : TN
Zip : 37403-2800
Country : US
Telephone Number : 423-693-2400
Fax Number : 423-693-2499
Authorized Official
Title or Position : PRESIDENT
Name : ALEXANDER A STRATIENKO
Credential : MD
Telephone Number : 423-693-2400
Provider Enumeration Date : 07/21/2006
Last Update Date : 01/21/2013

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Directions to “CARDIAC AND VASCULAR ASSOCIATES, P.C. ” Practice Location

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