Provider Demographics
NPI:1124458252
Name:GOOD HEART CORPORATION
Entity type:Organization
Organization Name:GOOD HEART CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHWINI
Authorized Official - Middle Name:R
Authorized Official - Last Name:ANAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:606-330-0050
Mailing Address - Street 1:73 THOMPSON POYNTER RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40741-7202
Mailing Address - Country:US
Mailing Address - Phone:606-330-0050
Mailing Address - Fax:606-330-0029
Practice Address - Street 1:73 THOMPSON POYNTER RD
Practice Address - Street 2:SUITE C
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-7202
Practice Address - Country:US
Practice Address - Phone:606-330-0050
Practice Address - Fax:606-330-0029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-27
Last Update Date:2013-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY31680207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty