Organization
THE HEART AND VASCULAR CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OVAIS RAZA MD, FACC (PRESIDENT/OWNER)
(812) 277-9692
Entity
Organization
Contact information
Practice address
3251 SHAWNEE DRIVE SOUTH, BEDFORD, IN 47421
(812) 277-9692
(812) 277-9694
Mailing address
PO BOX 6687, BLOOMINGTON, IN 47407-6687
(812) 330-0909
(812) 330-0909
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
01044272A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200503540A
—
IN
Enumeration date
08/31/2006
Last updated
04/25/2011
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