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Organization
THE HEART AND VASCULAR CLINIC, P.C.
Active
Organization
THE HEART AND VASCULAR CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OVAIS RAZA MD, FACC (PRESIDENT/OWNER)
(812) 277-9692
Entity
Organization
Contact information
Practice address
3251 SHAWNEE DRIVE SOUTH, BEDFORD, IN 47421
(812) 277-9692
(812) 277-9694
Mailing address
PO BOX 6687, BLOOMINGTON, IN 47407-6687
(812) 330-0909
(812) 330-0909
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
01044272A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200503540A
—
IN
Enumeration date
08/31/2006
Last updated
04/25/2011
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