# THE HEART AND VASCULAR CLINIC, P.C.

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

## Provider details

- **NPI number:** 1447361928
- **Authorized official:** DR. OVAIS RAZA MD, FACC (PRESIDENT/OWNER)
- **Authorized official phone:** (812) 277-9692

## Contact information

- **Practice address:** 3251 SHAWNEE DRIVE SOUTH, BEDFORD, IN 47421
- **Practice address phone:** (812) 277-9692
- **Practice address fax:** (812) 277-9694
- **Mailing address:** PO BOX 6687, BLOOMINGTON, IN 47407-6687
- **Mailing address phone:** (812) 330-0909
- **Mailing address fax:** (812) 330-0909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 01044272A | IN | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 04/25/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200503540A | — | IN |