Organization
CARDIAC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJSEKHAR DEVINENI MD (PRIMARY PHYSICIAN)
(814) 534-9399
Entity
Organization
Contact information
Practice address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-9399
(814) 534-5632
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-9399
(814) 534-5632
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD038892E
PA
Other
Enumeration date
05/27/2005
Last updated
08/22/2020
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