Provider Demographics
NPI:1194151126
Name:HEART RHYTHM VASCULAR LLC
Entity type:Organization
Organization Name:HEART RHYTHM VASCULAR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:SURI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:484-704-0743
Mailing Address - Street 1:600 E MARSHALL ST
Mailing Address - Street 2:STE 303
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-4441
Mailing Address - Country:US
Mailing Address - Phone:484-704-0743
Mailing Address - Fax:
Practice Address - Street 1:600 E MARSHALL ST
Practice Address - Street 2:STE 303
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4441
Practice Address - Country:US
Practice Address - Phone:484-704-0743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD443592261QM2500X, 261QP2300X, 261QR1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02644508Medicaid
BS7299438OtherDEA
NYRA6815Medicare PIN
G23267Medicare UPIN