# CHARLESTON CARDIAC SURGERY ASS

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

## Provider details

- **NPI number:** 1770080327
- **Authorized official:** RAKESH WAHI MD (SURGEON)
- **Authorized official phone:** (815) 621-6182

## Contact information

- **Practice address:** 3270 NW 36TH ST, MIAMI, FL 33142-5036
- **Practice address phone:** (815) 621-6182
- **Practice address fax:** (305) 634-4522
- **Mailing address:** 2655 COLLINS AVE APT 1611, MIAMI BEACH, FL 33140-4718

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/10/2018
- **Last updated:** 04/10/2018