Provider Demographics
NPI:1285277723
Name:CARDIOINNOVATION ASSOCIATES P LLC
Entity type:Organization
Organization Name:CARDIOINNOVATION ASSOCIATES P LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHIT
Authorized Official - Middle Name:
Authorized Official - Last Name:BHASIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-502-3547
Mailing Address - Street 1:1912 N BRANDON AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23507-1116
Mailing Address - Country:US
Mailing Address - Phone:757-201-9571
Mailing Address - Fax:757-663-5662
Practice Address - Street 1:1912 N BRANDON AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1116
Practice Address - Country:US
Practice Address - Phone:757-726-7216
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-28
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty