Organization
UZODINMA RAPHAEL DIM MD, PA
Active
Other names
International CardioVascular
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UZODINMA RAPHAEL DIM MD (OWNER/PRESIDENT)
(915) 248-2434
Entity
Organization
Contact information
Practice address
2200 GEORGE DIETER DRIVE, EL PASO, TX 79936-9998
(915) 248-2434
(915) 248-2443
Mailing address
2200 GEORGE DIETER DRIVE, EL PASO, TX 79936-9998
(915) 248-2434
(915) 248-2443
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
P0720
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
P0720
TX
207RI0011X
Interventional Cardiology Physician
Primary
P0720
TX
Other
Enumeration date
10/06/2014
Last updated
01/27/2016
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