Organization
APPALACHIAN CARDIOLOGY CLINIC, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAHMAJI S PURAM MD, FACC, FSCAI (PRESIDENT)
(606) 432-6162
Entity
Organization
Contact information
Practice address
419 TOWN MOUNTAIN RD STE 202, PROFESSIONAL ASSOCIATES BLDG, PIKEVILLE, KY 41501-1633
(606) 432-6162
(606) 432-6142
Mailing address
PO BOX 2197, PIKEVILLE, KY 41502-2197
(606) 432-6162
(606) 432-6142
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
28582
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65924698
—
KY
Enumeration date
09/26/2006
Last updated
03/11/2010
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