Organization
BT HEART AND VASCULAR CENTER, PLLC
Active
Other names
The Heart and Vascular Center
Organization subpart
No
Provider details
NPI number
Authorized official
BEHZAD TAGHIZADEH M.D. (MANAGER)
(336) 765-2500
Entity
Organization
Contact information
Practice address
223 HOSPITAL ST, MOCKSVILLE, NC 27028-2038
(336) 765-2500
(336) 765-2555
Mailing address
223 HOSPITAL ST, MOCKSVILLE, NC 27028-2038
(336) 765-2500
(336) 765-2555
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
124240
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116217
AETNA
NC
05
—
5900341
—
NC
01
—
DC6367
MEDICARE RR
NC
01
—
DC6368
MEDICARE RR
VA
Enumeration date
12/06/2005
Last updated
10/23/2007
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