Organization
HEART GROUP, PC
Active
Organization
HEART GROUP, PC
Active
Other names
The Heart Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANDRASHEKAR KUMBAR MD (PRESIDENT)
(812) 464-9133
Entity
Organization
Contact information
Practice address
4015 GATEWAY BLVD, SUITE 2120, NEWBURGH, IN 47630-9460
(812) 842-0907
(812) 464-4485
Mailing address
4015 GATEWAY BLVD, SUITE 2120, NEWBURGH, IN 47630-9460
(812) 842-0907
(812) 464-4485
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
IN
207RI0011X
Interventional Cardiology Physician
—
IN
2086S0129X
Vascular Surgery Physician
—
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
IN
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100179860
—
IN
05
—
200512330
—
IN
05
—
65917130
—
KY
Enumeration date
01/25/2006
Last updated
12/15/2016
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