Provider Demographics
NPI:1396990552
Name:PALMS CARDIOVASCULAR INSTITUTE,LLC
Entity type:Organization
Organization Name:PALMS CARDIOVASCULAR INSTITUTE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMIRKUMAR
Authorized Official - Middle Name:J
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACC
Authorized Official - Phone:412-963-2349
Mailing Address - Street 1:1360 OLD FREEPORT RD
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-4102
Mailing Address - Country:US
Mailing Address - Phone:412-963-2349
Mailing Address - Fax:412-963-7568
Practice Address - Street 1:10616 MAIN ST
Practice Address - Street 2:
Practice Address - City:THONOTOSASSA
Practice Address - State:FL
Practice Address - Zip Code:33592-2828
Practice Address - Country:US
Practice Address - Phone:813-220-5535
Practice Address - Fax:813-220-5535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3194210174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty