# APPALACHIAN CARDIOLOGY CLINIC, PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194826735
- **Authorized official:** DR. BRAHMAJI S PURAM MD, FACC, FSCAI (PRESIDENT)
- **Authorized official phone:** (606) 432-6162

## Contact information

- **Practice address:** 419 TOWN MOUNTAIN RD STE 202, PROFESSIONAL ASSOCIATES BLDG, PIKEVILLE, KY 41501-1633
- **Practice address phone:** (606) 432-6162
- **Practice address fax:** (606) 432-6142
- **Mailing address:** PO BOX 2197, PIKEVILLE, KY 41502-2197
- **Mailing address phone:** (606) 432-6162
- **Mailing address fax:** (606) 432-6142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 28582 | KY | Yes |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 03/11/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 65924698 | — | KY |