Organization
CARDIOVASCULAR CLINICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARISH A SHAH M.D. (PARTNER)
(219) 756-1400
Entity
Organization
Contact information
Practice address
1901 S HEATON ST, KNOX, IN 46534-2325
(219) 756-1400
(219) 756-1413
Mailing address
200 E 86TH PL, MERRILLVILLE, IN 46410-6258
(219) 756-1400
(219) 756-1413
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
50004087
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200195860
—
IN
Enumeration date
05/21/2008
Last updated
06/10/2008
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