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Organization

INDIANA HEART HOSPITAL LLC

Active
Other names
Community Cardiology
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS MALASTO (CEO)
(317) 621-8050
Entity
Organization

Contact information

Practice address
1210B MEDICAL ARTS BLVD, SUITE 217, ANDERSON, IN 46011-3461
(765) 298-4422
(765) 298-4926
Mailing address
920 N SHADELAND AVE, SUITE G1, INDIANAPOLIS, IN 46219-4898
(317) 355-9783
(317) 355-9760

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200539450B
IN
Enumeration date
02/19/2008
Last updated
06/23/2008
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